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Individual

SUSAN LYNN PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MALLP

Contact information

Practice address
409 PLYMOUTH RD, SUITE #125, PLYMOUTH, MI 48170-1497
(734) 404-7002
(734) 233-9733
Mailing address
409 PLYMOUTH RD, #125, PLYMOUTH, MI 48170-4080
(734) 404-7002
(734) 233-9733

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301009018
MI

Other

Enumeration date
07/21/2006
Last updated
03/16/2015
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