Individual
KATHRYN ANN SHALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2300 HAGGERTY RD, SUITE 2070, WEST BLOOMFIELD, MI 48323-2184
(248) 436-6202
Mailing address
2300 HAGGERTY RD, SUITE 2070, WEST BLOOMFIELD, MI 48323-2184
(248) 436-6202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012747
MI
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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