| Susan L. King | |
|
1601 Galbraith Ave Se Ste 304 Grand Rapids MI 49546-6479 | |
| (616) 953-0544 | |
| Not Available |
| Full Name | Susan L. King |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1601 Galbraith Ave Se Ste 304, Grand Rapids, Michigan |
| Authorized Official Name and Position | Susan Lesley King (OWNER) |
| Authorized Official Contact | 9495847554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L. King 1560 Seminole Rd Se Grand Rapids MI 49506-6536 Ph: (949) 584-7554 | Susan L. King 1601 Galbraith Ave Se Ste 304 Grand Rapids MI 49546-6479 Ph: (616) 953-0544 |
| NPI Number | 1104422070 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 01/04/2021 |
| Certification Date | 01/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104422070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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