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Individual
SUSANNA WARNER
Active
Individual
SUSANNA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, LLP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301008248
MI
363A00000X
Physician Assistant
Primary
5601007902
MI
Other
Enumeration date
08/04/2006
Last updated
12/19/2025
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