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1023155405
SUSAN MILLER-THOMPSON
PONTIAC, MI
NPI
1023155405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI C-00122)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Ms. SUSAN MILLER-THOMPSON MAAT,CAAC
196 CESAR E CHAVEZ AVE STE. B-201
PONTIAC, MI 48342-1094
Phone number: 248-253-0176
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Mailing Address
Ms. SUSAN MILLER-THOMPSON MAAT,CAAC
2200 BARBERRY DR
SHELBY TOWNSHIP, MI 48316-0905
Phone number: 248-601-1419
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