Individual
MS. LISA G. WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
24715 LITTLE MACK AVE, SUITE200, SAINT CLAIR SHORES, MI 48080-3207
(586) 777-9000
Mailing address
10731 OAK PARK BLVD, OAK PARK, MI 48237-2167
(248) 542-0943
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009678
MI
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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