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Organization
SHINE WELLNESS CLINIC, PLLC
Active
Organization
SHINE WELLNESS CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAOMI MARGARET BABA LMSW (OWNER)
(810) 531-5333
Entity
Organization
Contact information
Practice address
1 N STARKWEATHER ALY FL 3, ROMEO, MI 48065-4690
(586) 281-6815
Mailing address
1 N STARKWEATHER ALY FL 3, ROMEO, MI 48065-4690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801091649
MI
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/05/2017
Last updated
05/13/2025
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