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1396229027
MICHELLE LOIS STACKHOUSE
CANTON, OH
NPI
1396229027
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Former Name
MICHELLE LOIS BEYER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OH 00030)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
Mrs. MICHELLE LOIS STACKHOUSE Peer Support
5736 EAST BLVD NW
CANTON, OH 44718-1655
Phone number: 330-806-1953
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Mailing Address
Mrs. MICHELLE LOIS STACKHOUSE Peer Support
5736 EAST BLVD NW
CANTON, OH 44718-1655
Phone number: 330-806-1953
Copy
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