MYSHIA VENISE LILES-MOULTRIE

EAST LANSING, MI
NPI1265143465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  6451021996)
Enumeration Date2022-12-08
Last Update Date2022-12-08
Business Address
MYSHIA VENISE LILES-MOULTRIE LLPC
5030 NORTHWIND DR STE 101
EAST LANSING, MI 48823-5034
Phone number: 517-333-1499
Mailing Address
MYSHIA VENISE LILES-MOULTRIE LLPC
4642 S HAGADORN RD APT E19
EAST LANSING, MI 48823-5326
Phone number: 989-522-2580
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