Individual
MRS. LISA JOANNA RAETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW,CASAC-T
Contact information
Practice address
55 TROUP ST, CATHOLIC FAMILY CENTER, ROCHESTER, NY 14608-2053
(585) 546-3046
(585) 546-2607
Mailing address
32 SUDBURY DR, ROCHESTER, NY 14624-2641
(585) 690-3636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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