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Individual

MS. SUSAN HARRINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1203 1ST ST STE 504, JACKSON, MI 49203-3034
(517) 257-2511
(888) 323-2176
Mailing address
1203 1ST ST STE 504, JACKSON, MI 49203-3034
(517) 257-2511
(888) 323-2176

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
MI
172A00000X
Driver
MI
372500000X
Chore Provider
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88-3529237
MI
05
V250778585356
MI
Enumeration date
08/02/2022
Last updated
08/02/2022
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