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1124325568
SUSAN COUCH POLAKOWSKI
CLINTON TOWNSHIP, MI
NPI
1124325568
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Former Name
SUSAN COUCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6802065646)
Enumeration Date
2011-02-22
Last Update Date
2011-02-22
Business Address
Mrs. SUSAN COUCH POLAKOWSKI
21885 DUNHAM RD SUITE 1
CLINTON TOWNSHIP, MI 48036-1030
Phone number: 586-469-6496
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Mailing Address
Mrs. SUSAN COUCH POLAKOWSKI
5212 COUNTRY SQUIRE RD
DRYDEN, MI 48428-9216
Phone number:
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