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Individual

SHANTINIQUE EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
245 PITKIN ST, HIGHLAND PARK, MI 48203-3737
(313) 865-1500
Mailing address
14435 FAIRMOUNT DR, DETROIT, MI 48205-1273

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
164W00000X
Licensed Practical Nurse
Primary
4703121742
MI

Other

Enumeration date
05/22/2018
Last updated
07/30/2026
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