Individual
MS. SUSAN JANE POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
1836 BALDWIN ST, JENISON, MI 49428-8901
(616) 457-0016
(616) 457-1950
Mailing address
1836 BALDWIN ST, JENISON, MI 49428-8901
(616) 457-0016
(616) 457-1950
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008784
MI
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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