Individual
MRS. SUSAN BOOTH WAYRYNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108
(734) 544-3050
(734) 544-6732
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3050
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802065505
MI
Other
Enumeration date
05/27/2015
Last updated
01/16/2019
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