Individual
LOIS JEAN WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15908 MANSFIELD ST, DETROIT, MI 48227-1959
(313) 835-1245
Mailing address
15908 MANSFIELD, DETROIT, MI 48227
(313) 835-1245
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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