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1770003923
SUSANNE MARIE WICKLUND
MARQUETTE, MI
NPI
1770003923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-20
Last Update Date
2017-06-20
Business Address
SUSANNE MARIE WICKLUND Development Plan
1009 W RIDGE ST STE C
MARQUETTE, MI 49855-3997
Phone number: 906-228-6545
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Mailing Address
SUSANNE MARIE WICKLUND Development Plan
97 S 4TH ST
ISHPEMING, MI 49849-2168
Phone number:
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