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Organization

SUZANNE S. TAYLOR MSW CSW ACSW LLC

Active
Parent organization
SUZANNE S. TAYLOR MSW CSW ACSW LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUZANNE S. TAYLOR MSW CSW ACSW LLC
Authorized official
SUZANNE S. TAYLOR MSW CSW ACSW LLC (PSYCHOTHERAPIST)
(810) 695-9466
Entity
Organization

Contact information

Practice address
9460 S SAGINAW RD, SUITE D, GRAND BLANC, MI 48439-8207
(810) 695-9466
(810) 695-4311
Mailing address
9460 S SAGINAW RD, SUITE D, GRAND BLANC, MI 48439-8207
(810) 695-9466
(810) 695-4311

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
101YM0800X
MI
251S00000X
Community/Behavioral Health Agency
Primary
6801065486
MI

Other

Enumeration date
04/24/2008
Last updated
05/22/2008
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