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Individual
MRS. STACEY A THRUSH
Active
Individual
MRS. STACEY A THRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801099785
MI
1041C0700X
Clinical Social Worker
Primary
6801099785
MI
1041S0200X
School Social Worker
6801099785
MI
Other
Enumeration date
02/04/2018
Last updated
02/04/2018
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