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Organization
SHANNON S WYSINGER, LLC
Active
Organization
SHANNON S WYSINGER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WYSINGER LPC (OWNER)
(810) 240-1849
Entity
Organization
Contact information
Practice address
28475 GREENFIELD RD STE 113, SOUTHFIELD, MI 48076-3034
(810) 510-0443
(313) 488-2736
Mailing address
1201 CEDAR BEND DR, GRAND BLANC, MI 48439-3405
(810) 240-1849
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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