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Organization
LISA B WHITEHEAD PLLC
Active
Organization
LISA B WHITEHEAD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WHITEHEAD (CLINICAL SOCIAL WORKER)
(517) 347-4848
Entity
Organization
Contact information
Practice address
4084 OKEMOS RD STE A, OKEMOS, MI 48864-3258
(517) 347-4848
Mailing address
4084 OKEMOS RD STE A, OKEMOS, MI 48864-3258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801064670
MI
Other
Enumeration date
03/28/2016
Last updated
07/15/2021
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