MRS. Mary Lucille Stoddard, L.P.C.

NPI #1083980551 in Portage, Michigan

Provider Information

NPI Number
1083980551
Entity Type
Individual
Name
MRS. Mary Lucille Stoddard, L.P.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Credential
L.P.C.
Enumeration Date
Mar 28, 2012
Last Updated
Mar 28, 2012

Practice Location

Address
745 ALFA CT APT 1A
ZIP Code
49002-2979
Phone
(989) 305-2095

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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