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JOHN STACY, MLTDSW, CAC-1
MLTDSW, CAC-1
Clinical Social Worker
NPI: 1912035627IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
6801087738(MI)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2006
Contact & Hours
- Address
- 2140 E ELLSWORTH RD
ANN ARBOR, MI 48108 - Phone
- (734) 222-9501
Quick Facts
- NPI
- 1912035627
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 20
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