Individual
MS. LESLIE INGRID SHELLBERG I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 342-3606
(313) 861-0413
Mailing address
3011 KINGSLEY DR, TROY, MI 48084-1216
(248) 433-1579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60801088740
MI
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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