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1992241160
STACI FEALK
SOUTHFIELD, MI
NPI
1992241160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801086443)
Enumeration Date
2017-01-12
Last Update Date
2017-01-12
Business Address
-- STACI FEALK LMSW
15700 W 10 MILE RD SUITE 213
SOUTHFIELD, MI 48075-2149
Phone number: 989-225-4111
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Mailing Address
-- STACI FEALK LMSW
1701 SPRUCE DR
COMMERCE TOWNSHIP, MI 48390-4311
Phone number:
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