Individual
KATHERINE SUSAN MCCLOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
101YA0400X
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
27455 30 MILE RD, LENOX, MI 48050-1510
(586) 531-0855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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