Individual
SUE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
17135 CROSS CREEK CT, MACOMB, MI 48044-5587
(313) 303-6604
Mailing address
17135 CROSS CREEK CT, MACOMB, MI 48044-5587
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6401008067
MI
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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