Individual
BRITTANI SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 818-4803
(616) 710-5176
Mailing address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 818-4803
(616) 710-5176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013688
MI
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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