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1922522838
STACY PETERSON
PLYMOUTH, MI
NPI
1922522838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801089472)
Enumeration Date
2017-08-01
Last Update Date
2017-08-01
Business Address
STACY PETERSON
9409 N HAGGERTY RD
PLYMOUTH, MI 48170-4696
Phone number: 734-559-3540
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Mailing Address
STACY PETERSON
9409 N HAGGERTY RD
PLYMOUTH, MI 48170-4696
Phone number:
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