Individual
MRS. MARY SUSAN DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3295 BABYLON RD, ALLEGAN, MI 49010-9287
(269) 355-1199
Mailing address
3295 BABYLON RD, ALLEGAN, MI 49010-9287
(269) 355-1199
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AF030314952
MI
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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