Individual
RAYA MARIE LASIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW, CPSS
Contact information
Practice address
31500 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(800) 395-3223
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
247200000X
Other Technician
Primary
6852091235
MI
Other
Enumeration date
03/04/2020
Last updated
06/28/2022
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