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1306927827
STACIE A JOHNSON
BAD AXE, MI
NPI
1306927827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801070204)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
STACIE A JOHNSON
1108 S VAN DYKE
BAD AXE, MI 48413
Phone number: 989-269-9293
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Mailing Address
STACIE A JOHNSON
8553 WILLARD ST
MILLINGTON, MI 48746
Phone number:
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