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Individual

JOHN SHAFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LLP

Contact information

Practice address
1660 FORT ST, TRENTON, MI 48183
(734) 304-4159
Mailing address
1660 FORT ST, TRENTON, MI 48183-2003
(734) 304-4159

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014377
MI
103TF0200X
Forensic Psychologist
6301014377
MI

Other

Enumeration date
03/15/2010
Last updated
07/18/2019
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