Individual
MRS. JULIE DIANE LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13001 23 MILE RD STE 103, SHELBY TOWNSHIP, MI 48315-2767
(248) 218-1868
Mailing address
3017 LAKESIDE DR, SHELBY TOWNSHIP, MI 48316-2957
(215) 520-6246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017629
MI
Other
Enumeration date
09/18/2015
Last updated
07/19/2021
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