Individual
LILLIAN GRACE RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
411 W LAKE LANSING RD # STWB110, EAST LANSING, MI 48823-8445
(517) 657-3533
Mailing address
4934 OAKBROOK DR, LANSING, MI 48910-5836
(517) 375-4740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851119023
MI
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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