Individual
MS. EMILY K LIETZ VLIEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4572 S HAGADORN RD, SUITE 1C, EAST LANSING, MI 48823-5385
(517) 481-2133
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801087686
MI
Other
Enumeration date
09/11/2012
Last updated
11/01/2014
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