Individual
PATRICIA LISOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCAR
Contact information
Practice address
6418 DEANS HILL RD STE 1, BERRIEN CENTER, MI 49102-8714
(269) 815-5500
(269) 815-5373
Mailing address
9545 PINE ST, BRIDGMAN, MI 49106-9531
(269) 422-7644
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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