Individual
DIANE JOHNSON-LOUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP, LMSW
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 661-7393
Mailing address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 661-7393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301004065
MI
104100000X
Social Worker
6801033244
MI
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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