Individual
SUSAN LYNN OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 HERITAGE DR STE 520, SOUTHGATE, MI 48195-3051
(734) 215-9800
Mailing address
1419 E LARNED ST APT 204, DETROIT, MI 48207-3073
(614) 323-2332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401222342
MI
Other
Enumeration date
07/05/2018
Last updated
08/29/2023
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