Individual
SHANOA DIONE PRAAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4845 SNYDER AVE, FREMONT, MI 49412-8573
(231) 924-6920
Mailing address
4845 SNYDER AVE, FREMONT, MI 49412-8573
(231) 924-6920
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301016676
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301016676
LICENSE
MI
Enumeration date
08/02/2016
Last updated
08/02/2016
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