| Doctor Name: | MRS. LISA MARIE STAWARZ |
| NPI Number: | 1174755730 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLMSW |
| License Number: | L1580353 |
| Business Practice Address: | 9315 Telegraph Rd Redford, MI - 482391260 |
| Business Phone Number: | 7346560130 |
| Business Fax Number: | 7346569846 |
| Mailing Address: | 9315 Telegraph Rd, REDFORD |
| State: | MI |
| Postal Code: | 482391260 |
| Phone Number: | 7346560130 |
| Fax Number: | 7346569846 |
| NPI Enumeration Date: | 08/17/2009 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | L1580353 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |