Individual
HEATHER LASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
19208 BANNER AVE, BROWNSTOWN, MI 48174-9617
(313) 204-1846
Mailing address
19208 BANNER AVE, BROWNSTOWN, MI 48174-9617
(313) 204-1846
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085004
MI
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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