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1891262879
STACIE NICOLE BURNS
PONTIAC, MI
NPI
1891262879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
STACIE NICOLE BURNS
239 STATE ST
PONTIAC, MI 48341-1363
Phone number: 248-335-5437
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Mailing Address
STACIE NICOLE BURNS
54 SENECA ST
PONTIAC, MI 48342-2349
Phone number: 248-335-5437
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