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Individual
MRS. LISA DIANE NIEMISTO
Active
Individual
MRS. LISA DIANE NIEMISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C02843
MI
101YM0800X
Mental Health Counselor
6801095909
MI
1041C0700X
Clinical Social Worker
Primary
6801095909
MI
Other
Enumeration date
12/19/2013
Last updated
11/04/2020
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