Individual
ANDREA SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 S CENTERVILLE RD, STURGIS, MI 49091-2062
(269) 241-2700
Mailing address
706 S CENTERVILLE RD, STURGIS, MI 49091-2062
(269) 241-2700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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