Individual
ALLISON SHAUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13001 23 MILE RD STE 103, SHELBY TOWNSHIP, MI 48315-2767
(124) 848-3050
Mailing address
530 E MELDRUM CIR, SAINT CLAIR, MI 48079-4245
(810) 824-0739
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451024292
MI
Other
Enumeration date
06/25/2024
Last updated
05/20/2025
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