Individual
SHANNON HULLIBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 E SHERMAN BLVD, MUSKEGON, MI 49444-1814
(262) 309-8991
Mailing address
1848 PRESTON CT NW APT B95, GRAND RAPIDS, MI 49504-2774
(262) 309-8991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000135
MI
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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