STACIE A JOHNSON

BAD AXE, MI
NPI1306927827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801070204)
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
STACIE A JOHNSON
1108 S VAN DYKE
BAD AXE, MI 48413
Phone number: 989-269-9293
Mailing Address
STACIE A JOHNSON
8553 WILLARD ST
MILLINGTON, MI 48746
Phone number: