Provider Information for 1023453453
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Mrs. COURTNEY ELIZABETH PALADINO
Other Names:Former Name:Ms. COURTNEY ELIZABETH STACKPOOLE LLMSWSex: Female
NPI: 1023453453
Last Updated: 2013-04-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1023453453 | ||||||||
| Enumeration Date | 2013-04-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 279 SUMMIT DR WATERFORD, MI 48328-3364 United States Phone: 248-409-4165 | Fax:248-745-6872 | ||||||||
| Primary Practice Address | 279 SUMMIT DR WATERFORD, MI 48328-3364 United States Phone: 248-409-4165 | Fax:248-745-6872 | ||||||||
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