| NPI | 1699180901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA WITKOWSKI Owner, Lakeshore Therapy P LLC 810-689-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801080601) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-11-01 |