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Individual

MRS. SUSAN J WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
12220 HARVEY ST, JONES, MI 49061-9742
(269) 816-5031
(269) 244-8913
Mailing address
12220 HARVEY ST, JONES, MI 49061-9742
(269) 816-5031
(269) 244-8913

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
35001563A
IN
106H00000X
Marriage & Family Therapist
Primary
4101006308
MI

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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