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1710007497
SUSAN H PARK
JACKSON, MI
NPI
1710007497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6801064663)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- SUSAN H PARK LMSW
330 W MICHIGAN AVE
JACKSON, MI 49201-2121
Phone number: 517-787-7920
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Mailing Address
-- SUSAN H PARK LMSW
1751 S SANDSTONE RD
JACKSON, MI 49201-8985
Phone number: 517-787-7920
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