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Individual

DR. CHERYL E SAMUELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
975 SPAULDING AVE SE STE D, ADA, MI 49301-3776
(231) 881-2416
Mailing address
PO BOX 213, GRANDVILLE, MI 49468-0213
(231) 881-2416

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010454
MI

Other

Enumeration date
05/14/2007
Last updated
12/16/2019
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