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NPI Code Detail

MEDICARE: MRS. ALLISON STODDARD LMSW

MEDICARE:  MRS. ALLISON  STODDARD  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801114376MI
21041C0700XClinical Social Worker6801096731MI

General Provider Information

NPI Number : 1194137893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALLISON STODDARD LMSW
Provider Business Mailing Address
First Line : 24958 THURBER TRL
Second Line :
City : SOUTH LYON
State : MI
Zip : 48178-1997
Country : US
Telephone Number : 586-212-3313
Fax Number :
Provider Business Practice Location Address
First Line : 127 N LAFAYETTE ST
Second Line :
City : SOUTH LYON
State : MI
Zip : 48178-1210
Country : US
Telephone Number : 248-573-7417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2014
Last Update Date : 02/18/2026

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Directions to “ MRS. ALLISON STODDARD LMSW” Practice Location

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