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1154051381
MICHELLE STACEY
TOMS RIVER, NJ
NPI
1154051381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NJ 44SL06141000)
Enumeration Date
2022-06-11
Last Update Date
2022-06-11
Business Address
MICHELLE STACEY LSW
520 MAIN ST
TOMS RIVER, NJ 08753-7420
Phone number: 732-600-0971
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Mailing Address
MICHELLE STACEY LSW
262 BONAIRE DR
TOMS RIVER, NJ 08757-3850
Phone number: 732-691-2216
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