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1427251909
THERESA DAWN STACK
TRAVERSE CITY, MI
NPI
1427251909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801019505)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
Ms. THERESA DAWN STACK LMSW
512 S UNION ST
TRAVERSE CITY, MI 49684-3247
Phone number: 231-941-6550
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Mailing Address
Ms. THERESA DAWN STACK LMSW
512 S UNION ST
TRAVERSE CITY, MI 49684-3247
Phone number: 231-941-6550
Copy
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