Individual
MICHELLE SUSAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 E 10 MILE RD, CENTER LINE, MI 48015-1168
(586) 501-3070
Mailing address
52643 BELLE POINTE CT, SHELBY TOWNSHIP, MI 48316-2916
(248) 403-4920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023124
MI
Other
Enumeration date
07/03/2023
Last updated
09/11/2025
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