Individual
ASHLEY LIETZAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20619 ELIZABETH ST, SAINT CLAIR SHORES, MI 48080-3764
(586) 343-7212
Mailing address
20619 ELIZABETH ST, SAINT CLAIR SHORES, MI 48080-3764
(586) 343-7212
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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