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Organization
EASTSIDE COMMUNITY ACTION CENTER
Active
Organization
EASTSIDE COMMUNITY ACTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY PARKER PH.D, MSW (EXECUTIVE DIRECTOR/ CLINICAL SOCIAL)
(517) 853-0414
Entity
Organization
Contact information
Practice address
1001 DAKIN STREET, SUITE B, LANSING, MI 48912
(517) 853-0414
Mailing address
1001 DAKIN STREET, SUITE B, LANSING, MI 48912
(517) 853-0414
(517) 853-0415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801012477
MI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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