Individual
SHANNON BROADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 MORAINE DR, BRIGHTON, MI 48114-9218
(989) 948-0900
Mailing address
5333 MCAULEY DR RM 2017, YPSILANTI, MI 48197-1096
(734) 434-3200
(734) 879-0550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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