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NPI Code Detail

MEDICARE: LOIS DIANE ADAMS LBSW

MEDICARE: LOIS DIANE ADAMS LBSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor6802066712MI

General Provider Information

NPI Number : 1942548821
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOIS DIANE ADAMS LBSW
Provider Business Mailing Address
First Line : 2715 S TOWNLINE RD
Second Line :
City : HOUGHTON LAKE
State : MI
Zip : 48629-9294
Country : US
Telephone Number : 989-366-8550
Fax Number :
Provider Business Practice Location Address
First Line : 2715 S TOWNLINE RD
Second Line : NORTHERN LAKES CMH
City : HOUGHTON LAKE
State : MI
Zip : 48629-9294
Country : US
Telephone Number : 989-366-8550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2013
Last Update Date : 01/28/2013

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Directions to “ LOIS DIANE ADAMS LBSW” Practice Location

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