THERESA DAWN STACK

TRAVERSE CITY, MI
NPI1427251909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801019505)
Enumeration Date2007-06-11
Last Update Date2007-07-08
Business Address
Ms. THERESA DAWN STACK LMSW
512 S UNION ST
TRAVERSE CITY, MI 49684-3247
Phone number: 231-941-6550
Mailing Address
Ms. THERESA DAWN STACK LMSW
512 S UNION ST
TRAVERSE CITY, MI 49684-3247
Phone number: 231-941-6550
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