Individual
SHAVONNE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 N PERRY ST, PONTIAC, MI 48340-2235
(248) 871-1454
Mailing address
1841 N PERRY ST, PONTIAC, MI 48340-2235
(248) 871-1454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451018013
MI
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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