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1750505855
STACEY LYNN CASANOVA
JACKSON, MI
NPI
1750505855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801079359)
Enumeration Date
2007-04-12
Last Update Date
2010-06-23
Business Address
MRS. STACEY LYNN CASANOVA LMSW
1200 N WEST AVE SUITE 800
JACKSON, MI 49202-2179
Phone number: 517-780-3304
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Mailing Address
MRS. STACEY LYNN CASANOVA LMSW
3801 FAIRVIEW AVE
JACKSON, MI 49203-2409
Phone number: 517-392-1268
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