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Organization
KEYSTONE BEHAVIORAL HEALTH PLLC
Active
Organization
KEYSTONE BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L TAYLOR LMSW (OWNER)
(734) 646-5327
Entity
Organization
Contact information
Practice address
28175 HAGGERTY RD, NOVI, MI 48377-2903
(734) 646-5327
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801082631
MI
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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