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Individual

AGNES MARIE ISAACS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSMW

Contact information

Practice address
5135 S PENNSYLVANIA AVE, LANSING, MI 48911-4002
(517) 887-5922
(517) 887-5982
Mailing address
6223 BROOKLINE CT, EAST LANSING, MI 48823-1610
(517) 332-0443

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801090118
MI
1041C0700X
Clinical Social Worker
Primary
6801090118
MI

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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