Individual
MS. LISA YOUNG LARANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
4925 PACKARD ST, ANN ARBOR, MI 48108-1521
(734) 971-9781
(734) 971-2730
Mailing address
5872 CREEKVIEW CT, ANN ARBOR, MI 48108-8531
(973) 493-5821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
44SC05239100
NJ
101YP2500X
Professional Counselor
Primary
6801088735
MI
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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