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Individual
MRS. SUSAN RAE HALL
Active
Individual
MRS. SUSAN RAE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010856
MI
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/12/2011
Last updated
04/16/2021
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