| Lisa M. Constance | |
|
41081 Ann Arbor Rd E Plymouth MI 48170-4478 | |
| (734) 233-9494 | |
| (734) 233-9490 |
| Full Name | Lisa M. Constance |
|---|---|
| Speciality | Counselor - Professional |
| Location | 41081 Ann Arbor Rd E, Plymouth, Michigan |
| Authorized Official Name and Position | Lisa M Constance (CEO) |
| Authorized Official Contact | 7345165806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M. Constance 41081 Ann Arbor Rd E Plymouth MI 48170-4478 Ph: (734) 233-9494 | Lisa M. Constance 41081 Ann Arbor Rd E Plymouth MI 48170-4478 Ph: (734) 233-9494 |
| NPI Number | 1245686922 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245686922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401013267 (Michigan) | Primary |
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