Individual
MS. JENETTE MARIE LIPPIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
807 GARDENIA AVE, ROYAL OAK, MI 48067-4402
(602) 460-4005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/14/2012
Last updated
07/14/2012
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