Individual
MS. SUSAN LOUISE VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1435 N OAKLAND BLVD, WATERFORD, MI 48327-1549
(248) 406-0090
(248) 666-8822
Mailing address
1435 N OAKLAND BLVD, WATERFORD, MI 48327-1549
(248) 406-0090
(248) 666-8822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401010925
MI
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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