Individual
SHAKAREE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
38271 MOUND RD BLDG B, STERLING HEIGHTS, MI 48310-3401
(586) 477-2054
Mailing address
PO BOX 289, MASON, MI 48854-0289
(517) 676-5405
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802089910
MI
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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