Individual provider · Type 1 NPI

Darryl R. Stanbrough, JR, MSW

Student in an Organized Health Care Education/Training Program · Southfield, MI

NPI number 1508760661 Active

Practice location

17320 W 12 Mile Rd Ste 101
Southfield, MI 48076-2102

Call (248) 557-3606 Map

Fax (248) 557-4697

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X261QM0801X (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508760661

Darryl R. Stanbrough, JR, MSW's National Provider Identifier is 1508760661, issued on Oct 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on Oct 15, 2026.