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1902233430
STACEY MARIE COON-BALLARD
KALAMAZOO, MI
NPI
1902233430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801095792)
Enumeration Date
2013-09-30
Last Update Date
2016-10-17
Business Address
Mrs. STACEY MARIE COON-BALLARD LLMSW
601 JOHN ST
KALAMAZOO, MI 49007-5341
Phone number: 269-250-8883
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Mailing Address
Mrs. STACEY MARIE COON-BALLARD LLMSW
601 JOHN ST
KALAMAZOO, MI 49007-5341
Phone number: 269-250-8883
Copy
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