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Individual

LEE ANN CUSHION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
837 GLENHAVEN AVE, EAST LANSING, MI 48823-3056
(517) 775-4701
Mailing address
837 GLENHAVEN AVE, EAST LANSING, MI 48823-3056
(517) 775-4701

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801033521
MI

Other

Enumeration date
10/20/2012
Last updated
10/20/2012
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