Individual
STACI ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 S SAGINAW ST, 1460, FLINT, MI 48507-2645
(810) 237-0799
(810) 237-0805
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802087037
MI
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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