Individual
SHANNON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33231 SCHOOLCRAFT ROAD SUITE 210, LIVONIA, MI 48150
(734) 266-6800
Mailing address
33855 PONDVIEW CIR, LIVONIA, MI 48152-1473
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015625
MI
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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