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1821310707
STACY LYNN DICKINSON
CANTON, MI
NPI
1821310707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2010-02-19
Last Update Date
2010-02-19
Business Address
Mrs. STACY LYNN DICKINSON BSW
8142 HONEYTREE BLVD BLDG. 61
CANTON, MI 48187-4109
Phone number: 734-414-1795
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Mailing Address
Mrs. STACY LYNN DICKINSON BSW
563 ALLEN RD LOT #1
MILAN, MI 48160-1516
Phone number: 734-323-1598
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