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General NPI Number Information
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NPI Number | 1851000335
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Entity Type | Individual
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Provider Name | STACIE KAY BOVEE LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 4912 MAC ST
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City | MIDLAND
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State | MI
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Zip | 48640-2807
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Country | US
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Telephone | 989-317-4640
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Fax |
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Provider Business Mailing Address
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Address Line | 4932 W BARDEN RD
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City | COLEMAN
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State | MI
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Zip | 48618-9763
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Country | US
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Telephone | 989-205-0991
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801121027
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License Number State | MI
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