Individual
VIORICA TIPTIS LAZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS MHC
Contact information
Practice address
711 W 13 MILE RD STE 100, MADISON HEIGHTS, MI 48071-1873
(248) 298-1000
(248) 298-1006
Mailing address
711 W 13 MILE RD STE 100, MADISON HEIGHTS, MI 48071-1873
(248) 298-1000
(248) 298-1006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014042
MI
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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