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1639590813
LISA LAMANCUSA
GRAND RAPIDS, MI
NPI
1639590813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301012462)
Enumeration Date
2013-12-14
Last Update Date
2020-04-28
Business Address
LISA LAMANCUSA LLP
5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS, MI 49525-9747
Phone number: 616-279-3869
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Mailing Address
LISA LAMANCUSA LLP
5005 PLAINFIELD AVE NE STE 100
GRAND RAPIDS, MI 49525-9747
Phone number: 616-279-3869
Copy
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