Individual
MS. ANN MARIE LIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(586) 263-8700
(248) 475-6402
Mailing address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
(248) 475-6300
(248) 475-6402
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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