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1639383292
GINA STOVALL
JACKSON, MI
NPI
1639383292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801058494)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
-- GINA STOVALL LMSW
323 W MICHIGAN AVE
JACKSON, MI 49201-2120
Phone number: 517-783-2732
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Mailing Address
-- GINA STOVALL LMSW
PO BOX 67000 DEPARTMENT 282701
DETROIT, MI 48267-2728
Phone number: 517-841-6913
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