STACEY LYNN CASANOVA

JACKSON, MI
NPI1750505855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MI  6801079359)
Enumeration Date2007-04-12
Last Update Date2010-06-23
Business Address
Mrs. STACEY LYNN CASANOVA LMSW
1200 N WEST AVE SUITE 800
JACKSON, MI 49202-2179
Phone number: 517-780-3304
Mailing Address
Mrs. STACEY LYNN CASANOVA LMSW
3801 FAIRVIEW AVE
JACKSON, MI 49203-2409
Phone number: 517-392-1268