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Individual

MICHELLE LYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
22800 HALL RD STE 240, CLINTON TOWNSHIP, MI 48036-4805
(517) 676-5405
(517) 676-5460
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
(517) 676-5460

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401013926
MI
171M00000X
Case Manager/Care Coordinator
Primary
6401013926
MI

Other

Enumeration date
10/18/2013
Last updated
03/18/2014
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