Susan Beckman-ellenwood MA

NPI 1417190588 - Counselor - 101Y00000X

NPI Details
NPI 1417190588
Gender Female
Enumeration Date 04/19/2009
Last Updated 04/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
4660 MARSH RD STE 13
OKEMOS MI, 48864-2143, US
Phone (517) 242-1762
Fax
Business Location
12502 HOLIBAUGH RD
SPRINGPORT MI, 49284-9753, US
Phone (517) 242-1762
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Michigan
License Number 6401001487
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According to our database, Susan Beckman-ellenwood MA NPI is 1417190588, taxonomy code is 101Y00000X and license number is 6401001487, license state is located at Michigan. Susan Beckman-ellenwood MA physically located at 4660 Marsh Rd Ste 13, Okemos MI, 48864-2143. NPI Number Susan Beckman-ellenwood MA has the Individual type.

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1417190588 NPI number is provided on an as is basis without warranty of any kind. 1417190588 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Beckman-ellenwood MA are for informational purposes only.