Individual
REBECCA KOTLOWSKI LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, ABPP
Contact information
Practice address
2215 FULLER RD, MENTAL HEALTH CLINIC, ANN ARBOR, MI 48105-2303
(734) 769-7100
(734) 845-3235
Mailing address
2215 FULLER RD, MENTAL HEALTH CLINIC, ANN ARBOR, MI 48105-2303
(734) 769-7100
(734) 845-3235
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6301012055
MI
Other
Enumeration date
09/14/2006
Last updated
02/23/2011
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