Individual
MISS AILEEN ROCHELLE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2775 E LANSING DR, EAST LANSING, MI 48823
(616) 301-8000
Mailing address
8925 VIRGINIA ST, LIVONIA, MI 48150-3642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801098855
MI
Other
Enumeration date
12/09/2011
Last updated
08/29/2018
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