Individual
LISA ANNE PUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 227-1211
(810) 220-5509
Mailing address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 227-1211
(810) 220-5509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801067092
MI
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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