Stella Jane Park
Stella Jane Park is a Clinical Social Worker in Dearborn, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2024
Practice location Address checks out
19855 Outer Dr Ste 300Dearborn, MI 48124-2022
Phone: (313) 359-1977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 6851117216 (MI) |
|---|
Record details
| NPI number | 1437993532 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 24, 2024 |
| Last updated in NPPES | June 24, 2024 |
| Certification date | June 23, 2024 |
| Mailing address | 5590 Nottingham Ct Apt 209, Dearborn, MI 48126-2673 |
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