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Individual

SUSAN MARIE DILSWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
6189 LAKE MICHIGAN DR, ALLENDALE, MI 49401-9244
(877) 932-4446
(616) 588-6046
Mailing address
6189 LAKE MICHIGAN DR, ALLENDALE, MI 49401-9244
(877) 932-4446

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013131
MI

Other

Enumeration date
02/28/2011
Last updated
06/11/2017
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