Individual
MISS SHIRLEY A BOLDEN LIPPETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AS.
Contact information
Practice address
2150 E VERNOR HWY, APT 413, DETROIT, MI 48207-2744
(313) 895-0500
(313) 895-9503
Mailing address
2150 E VERNOR HWY, APT 413, DETROIT, MI 48207-2744
(313) 895-0500
(313) 895-9503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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