Individual
MRS. CASSANDRA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27024 BONNIE DR, WARREN, MI 48093-4616
(313) 282-6116
Mailing address
27024 BONNIE DR, WARREN, MI 48093-4616
(510) 579-3322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801099741
MI
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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