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1316721400
STACIA JEAN EBELT
TAYLOR, MI
NPI
1316721400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6362010045)
Enumeration Date
2023-08-21
Last Update Date
2024-09-11
Business Address
STACIA JEAN EBELT
20300 SUPERIOR RD
TAYLOR, MI 48180-6331
Phone number: 734-785-7700
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Mailing Address
STACIA JEAN EBELT
12142 LAPEER RD
DAVISON, MI 48423-8119
Phone number:
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