LISA MARIE MAKUCH

PORTAGE, MI
NPI1548403439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301010149)
Enumeration Date2009-04-08
Last Update Date2009-04-13
Business Address
-- LISA MARIE MAKUCH PhD
3770 GLENKERRY CT
PORTAGE, MI 49024-0700
Phone number: 269-329-2887
Mailing Address
-- LISA MARIE MAKUCH PhD
61 COMMERCE AVE SW
GRAND RAPIDS, MI 49503-4124
Phone number: 616-940-0660
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