Individual
MS. SUSAN KAY SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19366 ALLEN RD, SUITE C, BROWNSTOWN TWP, MI 48183-6809
(734) 479-0949
(734) 479-1637
Mailing address
1547 S WAYNE RD, WESTLAND, MI 48186-5436
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
910312
MI
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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