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Individual
SUSAN MARIE DEGROOT
Active
Individual
SUSAN MARIE DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801013446
MI
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164009
VALUE OPTIONS PROVIDER
MI
01
—
800011368
PALMETO GBA- RAILROAD RET
MI
01
—
8008951700
MICHIGAN BLUE CROSS
MI
Enumeration date
08/22/2005
Last updated
06/10/2020
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