Individual
SHAUNA MARIE MARKBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
(616) 405-0403
Mailing address
385 LEONARD ST NE, GRAND RAPIDS, MI 49503-1129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015168
MI
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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