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1619016672
STACY NICOLE GOODPASTER
LINCOLN PARK, MI
NPI
1619016672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801104179)
Enumeration Date
2007-02-06
Last Update Date
2019-09-23
Business Address
STACY NICOLE GOODPASTER LMSW
26184 OUTER DR
LINCOLN PARK, MI 48146-2084
Phone number: 133-389-7500
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Mailing Address
STACY NICOLE GOODPASTER LMSW
5408 HURON ST
DEARBORN HEIGHTS, MI 48125-2928
Phone number: 734-329-3727
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