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Individual
MRS. LISA MARIE BERCH
Active
Individual
MRS. LISA MARIE BERCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316138555
—
MI
Enumeration date
08/05/2007
Last updated
12/22/2009
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