Individual
SHAVON LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSHS, CMHP, QMHP, QI
Contact information
Practice address
G3169 BEECHER RD, FLINT, MI 48532-3611
(517) 676-5405
Mailing address
G3169 BEECHER RD, FLINT, MI 48532-3611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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