Individual
GINA SHAGENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1050 WILSHIRE DR STE 175, TROY, MI 48084-1590
(800) 693-1916
Mailing address
PO BOX 510220, AUBURN HILLS, MI 48326
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801100943
MI
104100000X
Social Worker
Primary
6801105830
MI
1041C0700X
Clinical Social Worker
6801100943
MI
Other
Enumeration date
11/09/2017
Last updated
08/12/2022
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