Provider Demographics
NPI:1295168235
Name:WOSU, JOY N (CADC/CASAC, MPA, DCW)
Entity type:Individual
Prefix:MS
First Name:JOY
Middle Name:N
Last Name:WOSU
Suffix:
Gender:F
Credentials:CADC/CASAC, MPA, DCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34057
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-0057
Mailing Address - Country:US
Mailing Address - Phone:248-506-4390
Mailing Address - Fax:
Practice Address - Street 1:245 PITKIN ST
Practice Address - Street 2:SUITE
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-3737
Practice Address - Country:US
Practice Address - Phone:313-865-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2016-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No374U00000XNursing Service Related ProvidersHome Health Aide