Stacey Allen, LMSW
Social Worker, Clinical in Flint, MI. Individual provider (NPI-1).
NPI number1801420708
StatusActive
Last updated in NPPESFeb 28, 2020
Details
- NPI
- 1801420708
- Entity type
- Individual (NPI-1)
- Name
- Stacey Allen
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2020
- Certification date
- Feb 28, 2020
- Last updated
- Feb 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801067059 | MI | Yes |
Practice location
5401 Gateway Ctr Ste DFlint, MI 48507-3980
Phone 248-954-4392
Mailing address
5311 Crestwood DrGrand Blanc, MI 48439-4319
Phone 810-610-5535
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