Individual
SUSAN ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31000 TELEGRAPH RD, BINGHAM FARMS, MI 48025-4360
(248) 594-4991
Mailing address
31000 TELEGRAPH RD, BINGHAM FARMS, MI 48025-4360
(248) 594-4991
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006636
MI
Other
Enumeration date
10/31/2007
Last updated
01/05/2016
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