Individual
LACI ZAWILINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP PHD
Contact information
Practice address
31700 W 12 MILE RD STE 250, FARMINGTON HILLS, MI 48334-4462
(248) 494-8373
Mailing address
PO BOX 26, UNION LAKE, MI 48387-0026
(248) 494-8373
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016862
MI
103TH0004X
Health Psychologist
6301016862
MI
Other
Enumeration date
08/07/2016
Last updated
08/09/2021
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