Individual
MRS. STACY LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 DELAWARE AVE, MARYSVILLE, MI 48040-1566
(810) 455-4398
Mailing address
499 RANGE RD, MARYSVILLE, MI 48040-2220
(810) 455-4398
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
IF0000000325086
MI
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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