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1588630966
STACEY J CLOSSON
MISHAWAKA, IN
NPI
1588630966
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Former Name
STACEY J GRASS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39000588A)
Enumeration Date
2006-02-27
Last Update Date
2024-06-03
Business Address
STACEY J CLOSSON LMHC
2410 GRAPE RD STE 6
MISHAWAKA, IN 46545-3015
Phone number: 574-283-1234
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Mailing Address
STACEY J CLOSSON LMHC
10100 ELIDA RD
DELPHOS, OH 45833-9058
Phone number: 419-695-8010
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