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1407017239
STACEY MICHELLE MACK
YPSILANTI, MI
NPI
1407017239
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Former Name
STACEY MICHELLE MACK-CAMERON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801081771)
Enumeration Date
2008-06-24
Last Update Date
2016-07-25
Business Address
MS. STACEY MICHELLE MACK MSW
3150 PACKARD RD
YPSILANTI, MI 48197-1994
Phone number: 734-879-0162
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Mailing Address
MS. STACEY MICHELLE MACK MSW
3150 PACKARD RD
YPSILANTI, MI 48197-1994
Phone number: 734-879-0162
Copy
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