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1912417379
LISA RENEE LEVY
DETROIT, MI
NPI
1912417379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
Ms. LISA RENEE LEVY
12010 LINWOOD ST
DETROIT, MI 48206-1108
Phone number: 313-867-1090
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Mailing Address
Ms. LISA RENEE LEVY
12010 LINWOOD ST
DETROIT, MI 48206-1108
Phone number: 313-867-1090
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