RANDALL EDWARD SURQUE

JACKSON, MI
NPI1447726146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MI  6401016161)
Enumeration Date2018-10-19
Last Update Date2024-10-30
Business Address
RANDALL EDWARD SURQUE LPC
1200 N WEST AVE
JACKSON, MI 49202-2179
Phone number: 517-789-1200
Mailing Address
RANDALL EDWARD SURQUE LPC
1200 N WEST AVE
JACKSON, MI 49202-2179
Phone number: 517-789-1200
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