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NPI Code Detail

MEDICARE: MS. SUSAN MARIE LOVELETTE LMSW

MEDICARE:  MS. SUSAN MARIE LOVELETTE  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801092886MI

General Provider Information

NPI Number : 1912205972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN MARIE LOVELETTE LMSW
Provider Business Mailing Address
First Line : 620 FOX ST
Second Line :
City : LAPEER
State : MI
Zip : 48446-2129
Country : US
Telephone Number : 810-270-2323
Fax Number : 810-270-2324
Provider Business Practice Location Address
First Line : 4070 HURON ST STE A
Second Line :
City : NORTH BRANCH
State : MI
Zip : 48461-8664
Country : US
Telephone Number : 810-270-2323
Fax Number : 810-270-2324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2011
Last Update Date : 12/27/2022

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Directions to “ MS. SUSAN MARIE LOVELETTE LMSW” Practice Location

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