Individual
SUZANNE LYNN MICHELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8765 SUNSHINE AVE, FLAGSTAFF, AZ 86004-9615
(928) 310-6305
Mailing address
8765 SUNSHINE AVE, FLAGSTAFF, AZ 86004-9615
(928) 310-6305
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
4161530
AZ
Other
Enumeration date
09/19/2017
Last updated
09/22/2017
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