STACY LYN BLACKWELL

GRAND RAPIDS, MI
NPI1174962617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801095510)
Enumeration Date2013-06-18
Last Update Date2025-05-21
Business Address
STACY LYN BLACKWELL LMSW
678 FRONT AVE NW
GRAND RAPIDS, MI 49504-5325
Phone number: 616-916-3711
Mailing Address
STACY LYN BLACKWELL LMSW
3122 CLYDE PARK AVE SW
WYOMING, MI 49509-2918
Phone number: 989-802-9583