Individual
DARRAH SUSAN-GAE DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
6100 NEWPORT RD STE 222, PORTAGE, MI 49002-9235
(269) 488-5929
Mailing address
11632 S SHAVER RD, SCHOOLCRAFT, MI 49087-9409
(616) 262-3756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851116196
MI
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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