Individual
MEGAN SHARON LA PORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30000 HIVELEY ST, INKSTER, MI 48141-1089
(734) 728-3400
Mailing address
7394 BRIARGATE DR, CANTON, MI 48187-1410
(734) 788-9540
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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