Individual
MS. ANN MARIE LIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010129
MI
104100000X
Social Worker
6802073882
MI
Other
Enumeration date
03/23/2009
Last updated
10/29/2024
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