CAROLE A STACY

LANSING, MI
NPI1932715778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse Addiction (Substance Use Disorder)
(Licence: MI  4704080504)
Enumeration Date2020-09-17
Last Update Date2020-09-17
Business Address
CAROLE A STACY RN
2025 S WASHINGTON AVE
LANSING, MI 48910-0828
Phone number: 888-686-0749
Mailing Address
CAROLE A STACY RN
10425 RIVER ROCK BLVD
DIMONDALE, MI 48821-8781
Phone number: 517-331-8668