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1386933190
STACIA LEA FRIDLEY
GRAND RAPIDS, MI
NPI
1386933190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801087255)
Enumeration Date
2011-04-01
Last Update Date
2011-04-01
Business Address
-- STACIA LEA FRIDLEY LLMSW
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503-1201
Phone number: 616-818-4819
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Mailing Address
-- STACIA LEA FRIDLEY LLMSW
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503-1201
Phone number: 616-818-4819
Copy
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