Individual
MS. SUE MYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW,QIDP
Contact information
Practice address
35000 VAN BORN RD, WAYNE, MI 48184-2458
(734) 722-1000
(734) 722-0368
Mailing address
35000 VAN BORN RD, WAYNE, MI 48184-2458
(734) 722-1000
(734) 722-0368
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802064401
MI
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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