Individual
MOLLY KATHLEEN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRC
Contact information
Practice address
128 N WARREN AVE, SAGINAW, MI 48607-1548
(989) 754-5754
(989) 754-0315
Mailing address
1116 W BRISTOL RD, FLINT, MI 48507-5518
(810) 238-0483
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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