Organization
SHELLEY GALASSO BONANNO & ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY BONANNO LLP (OWNER)
(586) 917-4001
Entity
Organization
Contact information
Practice address
1019 HAYNES ST, BIRMINGHAM, MI 48009-6779
(586) 917-4001
(586) 412-5836
Mailing address
1019 HAYNES ST, BIRMINGHAM, MI 48009-6779
(586) 917-4001
(586) 412-5836
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/20/2018
Last updated
03/17/2018
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