Doctor Name: | CHRISTINE MARIE STOCKFORD |
NPI Number: | 1013299650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 6801089522 |
Business Practice Address: | 3235 Congress Ave Saginaw, MI - 48602 |
Business Phone Number: | 9897934790 |
Business Fax Number: | 9897931641 |
Mailing Address: | 3253 Congress Ave, SAGINAW |
State: | MI |
Postal Code: | 486023106 |
Phone Number: | 8987924790 |
Fax Number: | 9897931641 |
NPI Enumeration Date: | 09/09/2011 |
NPI Last Update Date: | 09/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801089522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |