Individual
SHAHETIA ADEDRA MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
26184 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7500
Mailing address
1364 MORAN AVE, LINCOLN PARK, MI 48146-3850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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