Individual
SHANNON L HILTON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA ,LLP
Contact information
Practice address
1662 E CENTRE AVE, PORTAGE, MI 49002-4496
(269) 321-8564
Mailing address
5340 HOLIDAY TER, KALAMAZOO, MI 49009-2196
(269) 372-4140
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011909
MI
Other
Enumeration date
02/07/2007
Last updated
01/20/2009
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