Provider Information for 1871619247
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Dr. STANLEY JOHN SZCZOTKA Ph.D, MA. LLP. LPC,
Sex: Male
NPI: 1871619247
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1871619247 | ||||||||||||
| Enumeration Date | 2007-03-21 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 612 FILMORE ST CANTON, MI 48188-6721 United States Phone: 734-765-6900 | Fax: | ||||||||||||
| Primary Practice Address | 1255 S MAIN ST PLYMOUTH, MI 48170-2215 United States Phone: 734-765-6900 | Fax: | ||||||||||||
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