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1649426982
STAFFORD MCKAY
TRAVERSE CITY, MI
NPI
1649426982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 06302011)
Enumeration Date
2008-08-18
Last Update Date
2008-08-18
Business Address
Mr. STAFFORD MCKAY ba
1105 6TH ST
TRAVERSE CITY, MI 49684-2345
Phone number: 231-256-7676
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Mailing Address
Mr. STAFFORD MCKAY ba
1105 6TH STREET
TRAVERSE CITY, MI 49684
Phone number: 231-256-7676
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