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Individual

MRS. SUSAN E. DETTLOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
24715 LITTLE MACK AVE, STE. 200, SAINT CLAIR SHORES, MI 48080-3207
(586) 777-9000
(586) 777-0823
Mailing address
24715 LITTLE MACK AVE, STE. 200, SAINT CLAIR SHORES, MI 48080-3207
(586) 777-9000
(586) 777-0823

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801033706
MI

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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