Individual provider · NPI-1

Louise Willis Amissah, LCSW-C

Social Worker, Clinical · Bowie, MD

NPI number1982143087
StatusActive
Last updated in NPPESFeb 22, 2017

Details

NPI
1982143087
Entity type
Individual (NPI-1)
Name
Louise Willis Amissah
Credential
LCSW-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 22, 2017
Last updated
Feb 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical17068MDYes
1041C0700X Social Worker, ClinicalLC50078998DC

Practice location

12301 Quiet Owl Ln
Bowie, MD 20720-4307

Phone 301-352-8436

Mailing address

12301 Quiet Owl Ln
Bowie, MD 20720-4307

Phone 301-352-8436

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