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Organization

SHANLE PSYCHOLOGICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY HELTON (OFFICE MANAGER)
(313) 231-1771
Entity
Organization

Contact information

Practice address
14533 MACK AVE, DETROIT, MI 48215-2520
(313) 605-9400
Mailing address
14533 MACK AVE, DETROIT, MI 48215-2520
(313) 605-9400

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
09/20/2021
Last updated
12/03/2021
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