Individual
MS. SUSAN D PAVLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP LIMITED LICENSE
Contact information
Practice address
1528 SIXTH ST, MUSKEGON, MI 45441
(231) 728-6572
Mailing address
1528 SIXTH ST, MUSKEGON, MI 45441
(231) 728-6572
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010813
MI
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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