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Individual

KAREN LYNNETTE DUSSEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
32715 DORSEY ST, WESTLAND, MI 48186-4755
(734) 641-1141
(734) 641-1142
Mailing address
1539 E WILLOW WAY, MONROE, MI 48161-1796
(734) 641-1141
(734) 641-1142

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992076764
MI
Enumeration date
01/25/2012
Last updated
08/26/2020
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