Individual
SUSAN M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
1022 CHEROKEE AVE, ROYAL OAK, MI 48067
(248) 276-8000
Mailing address
1022 CHEROKEE AVE, ROYAL OAK, MI 48067-3382
(248) 276-8000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012671
MI
Other
Enumeration date
04/06/2007
Last updated
08/23/2018
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