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Individual

JOHN SOUGSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
3960 PATIENT CARE WAY STE 104, LANSING, MI 48911-4276
(517) 887-9801
(517) 887-9826
Mailing address
3960 PATIENT CARE WAY STE 104, LANSING, MI 48911-4276
(517) 887-9801
(517) 887-9826

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801057644
MI

Other

Enumeration date
02/10/2010
Last updated
02/10/2010
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