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Individual

DR. SUSAN A. MALONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
55 NORTH POND DR., SUITE 6, WALLED LAKE, MI 48390
(248) 926-8532
(248) 669-1925
Mailing address
883 LAGUNA DR., WOLVERINE LAKE, MI 48390
(248) 669-9569
(248) 669-1925

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301010320
MI

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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