Individual
MICHAEL THOMAS LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.L.C.S.W
Contact information
Practice address
405 NC HWY 65, WENTWORTH, NC 27375-0355
(336) 342-8316
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P006584
NC
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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