Individual
VERONICA LACASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13620 WESTCOTT DR, SOUTHGATE, MI 48195-3079
(734) 288-6578
Mailing address
13620 WESTCOTT DR, SOUTHGATE, MI 48195-3079
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004861
MI
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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