Individual
SHAVONNE ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(734) 331-0156
Mailing address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(734) 331-0156
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
07/27/2022
Last updated
03/18/2025
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