STACI LYN GOFTON

ALLEGAN, MI
NPI1770654360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801085687)
Enumeration Date2006-11-13
Last Update Date2007-07-08
Business Address
Miss STACI LYN GOFTON LMSW
3285 122ND AVE
ALLEGAN, MI 49010-9511
Phone number: 269-673-6617
Mailing Address
Miss STACI LYN GOFTON LMSW
560 PARKSIDE AVE NW
GRAND RAPIDS, MI 49534-3411
Phone number:
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