Individual
SHENISE MARIE BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 JENNER DR, ALLEGAN, MI 49010-1517
(269) 686-5124
Mailing address
1962 STONEBROOK DR NE, GRAND RAPIDS, MI 49505-7208
(404) 481-7694
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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