Individual
SUZETTE LISUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 ELECTRIC AVE, LINCOLN PARK, MI 48146-1887
(313) 396-5300
Mailing address
6309 MACK AVE STE 100, DETROIT, MI 48207-2302
(313) 396-5300
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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