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1467965566
JANELLE E STAVISKI
JACKSON, MI
NPI
1467965566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801095673)
Enumeration Date
2017-11-10
Last Update Date
2018-03-17
Business Address
JANELLE E STAVISKI LMSW
207 1ST ST
JACKSON, MI 49201-2102
Phone number: 517-998-4673
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Mailing Address
JANELLE E STAVISKI LMSW
9611 CEMENT CITY HWY
ADDISON, MI 49220-9723
Phone number: 616-881-6042
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