Individual
MS. KATRINA MARIE LISIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
3353 HOSPITAL RD, SAGINAW, MI 48603-9622
(989) 746-9633
(989) 790-1488
Mailing address
70 LAFAYETTE ST, PONTIAC, MI 48342-2033
(248) 338-7458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802086512
MI
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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