Individual
SHANIA ALYSSA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(888) 360-9355
Mailing address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(888) 360-9355
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
05/20/2026
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