STACEY LYNN TISSUE

PORT HURON, MI
NPI1043482854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MI  6802086138)
Enumeration Date2008-04-01
Last Update Date2008-04-01
Business Address
-- STACEY LYNN TISSUE LLBSW
2875 HENRY ST
PORT HURON, MI 48060-2526
Phone number: 810-987-9700
Mailing Address
-- STACEY LYNN TISSUE LLBSW
4090 WELLMAN LINE RD
JEDDO, MI 48032-8105
Phone number:
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