Individual
MS. SUE T. PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.L.P.
Contact information
Practice address
520 N MAIN ST, SUITE 202, CHEBOYGAN, MI 49721-1162
(231) 627-9917
Mailing address
188 PATRICK DR, INDIAN RIVER, MI 49749-9177
(231) 238-7804
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010359
MI
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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