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Individual

SHAQUILLIEA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
24435 PLYMOUTH RD, REDFORD, MI 48239-1616
(313) 450-0400
(313) 450-0404
Mailing address
24435 PLYMOUTH RD, REDFORD, MI 48239-1616
(313) 450-0400
(313) 450-0404

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MI
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/10/2023
Last updated
02/10/2026
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