RUSSELL LACELLE, LVT, CORPORAL

LVT, CORPORAL

Case Manager/Care Coordinator

NPI: 1407537442Individual

Specialties, Licenses & Credentials

Case Manager/Care CoordinatorPrimary

Case Manager/Care Coordinator

Code: 171M00000X

Contact & Hours

Address: 19649 JOLGREN DR
CLINTON TOWNSHIP, MI 48038
Phone: (586) 909-9875

Quick Facts

NPI: 1407537442
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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