Individual
HANNAH LIABENOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22310 PONTIAC TRL, SOUTH LYON, MI 48178-1657
(313) 278-4601
Mailing address
864 LONG LAKE DR, BRIGHTON, MI 48114-9643
(313) 278-4601
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
04/27/2026
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