Provider Information for 1013348457
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Ms. LISA TODD LLPC
Sex: Female
NPI: 1013348457
Last Updated: 2013-12-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1013348457 | ||||||||
| Enumeration Date | 2013-12-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6221 BRUSH ST DETROIT, MI 48202-3209 United States Phone: 313-874-7014 | Fax:313-874-7015 | ||||||||
| Primary Practice Address | 6221 BRUSH ST DETROIT, MI 48202-3209 United States Phone: 313-874-7014 | Fax:313-874-7015 | ||||||||
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