Individual
LAVON SHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 ROCHDALE DR S, ROCHESTER HILLS, MI 48309-2275
(248) 608-4514
Mailing address
145 ROCHDALE DR S, ROCHESTER HILLS, MI 48309-2275
(248) 608-4514
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/29/2018
Last updated
04/14/2023
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