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1669599684
LYNETTE MARIE ISH
DETROIT, MI
NPI
1669599684
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Other Name
LYNETTE MARIE GREEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Mrs. LYNETTE MARIE ISH MS, FAODP
5555 CONNER ST SUITE 1000 SOUTH
DETROIT, MI 48213-3448
Phone number: 313-347-2070
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Mailing Address
Mrs. LYNETTE MARIE ISH MS, FAODP
18339 BLUE HERON DR E
NORTHVILLE, MI 48168-9245
Phone number: 248-773-1963
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