Individual
ERICA RAE SUSZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28475 GREENFIELD RD STE 113, SOUTHFIELD, MI 48076-3034
(901) 209-9123
Mailing address
5476 RIDGE TRL N, CLARKSTON, MI 48348-2169
(248) 721-5872
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013802
MI
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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