Individual
SUSAN GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
245 PITKIN ST, HIGHLAND PARK, MI 48203-3737
(313) 865-1200
(313) 865-1477
Mailing address
15868 STEEL ST, DETROIT, MI 48227-4038
(313) 758-9042
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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