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1942834163
STACIA WALLACE
ANN ARBOR, MI
NPI
1942834163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-26
Last Update Date
2021-07-21
Business Address
STACIA WALLACE
2500 PACKARD ST
ANN ARBOR, MI 48104-6827
Phone number: 586-243-6466
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Mailing Address
STACIA WALLACE
526 W CENTRE AVE
PORTAGE, MI 49024-5306
Phone number:
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