STACY LYN BLACKWELL

WYOMING, MI
NPI1174962617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801095510)
Enumeration Date2013-06-18
Last Update Date2013-06-18
Business Address
-- STACY LYN BLACKWELL LLMSW
961 JOOSTEN ST SW
WYOMING, MI 49509-1449
Phone number: 616-452-8703
Mailing Address
-- STACY LYN BLACKWELL LLMSW
1939 DIVISION AVE S
GRAND RAPIDS, MI 49507-2459
Phone number: 616-247-3815
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