Individual
MS. SUSAN MARIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.L.P.
Contact information
Practice address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-1500
(734) 287-1660
Mailing address
3465 RICHARD ST, ANN ARBOR, MI 48104-5246
(734) 417-8397
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301009726
MI
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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