Individual
SHANELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17515 W 9 MILE RD STE 200, SOUTHFIELD, MI 48075-4404
(248) 943-2891
Mailing address
24762 ASHLEY CT, REDFORD, MI 48239-2623
(248) 943-2891
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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