Divine, Susan L

Divine, Susan L is an individual health care provider with primary practice located at 200 W Spring St , Marquette MI 49855-4630. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Divine, Susan L can be contacted via phone (906) 233-1236.

Contact Information

Primary practice address
200 W Spring St Marquette MI 49855-4630
Phone: (906) 233-1236
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801061581 Michigan

Profile Details

NPI number 1538302948
LBN Legal business name Divine, Susan L
Credentials LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2009
Last updated Apr 15th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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