Individual
JENNIFER SHANKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 243-7340
Mailing address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 243-7340
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013970
MI
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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