Individual
SHAWNA ANN MACIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 COLLEGE AVE, HOLLAND, MI 49423-5231
(616) 795-3598
(616) 298-2890
Mailing address
1051 COLLEGE AVE, HOLLAND, MI 49423-5231
(616) 795-3598
(616) 298-2890
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AF030396753
MI
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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