Individual
MRS. SHANNIKA GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12075 SORRENTO ST, DETROIT, MI 48227-3751
(313) 753-1721
(313) 753-1721
Mailing address
12075 SORRENTO ST, DETROIT, MI 48227-3751
(313) 753-1721
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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