Individual
MS. SUSAN KAY GANO-PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500
Mailing address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009922
MI
Other
Enumeration date
11/17/2005
Last updated
11/23/2007
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