Individual
MRS. LIA COLLEEN SHREVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.L.P.
Contact information
Practice address
5500 AUTO CLUB DR, DEARBORN, MI 48126-2779
(313) 317-2000
Mailing address
19415 WARRINGTON DR, DETROIT, MI 48221-1822
(313) 585-4130
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
03/26/2021
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