Susan L Divine, LBSW

NPI #1538302948 in Marquette, Michigan

Provider Information

NPI Number
1538302948
Entity Type
Individual
Name
Susan L Divine, LBSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LBSW
Enumeration Date
Apr 15, 2009
Last Updated
Apr 15, 2009

Practice Location

Address
200 W SPRING ST
ZIP Code
49855-4630
Phone
(906) 233-1236

Specialties & Taxonomy Codes

Specialty
Social Worker

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