Individual
SUSAN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 BEECH ST, CLARE, MI 48617-1209
(989) 802-0742
Mailing address
805 BEECH ST, CLARE, MI 48617-1209
(989) 802-0742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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