Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 6801091087 | MI |
NPI | 1003187717 |
---|---|
Provider Name | Adrienne Pisoni |
First Address | Ann Arbor, MI 48104-2293 |
Second Address | Ann Arbor, MI 48104-2293 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2012 |
Last Update Date | 14/06/2012 |