Individual
MS. SHANIQUA STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
461 W HURON ST, STE. 100 SEMINOLE, PONTIAC, MI 48341-1601
(248) 451-2608
Mailing address
49 NEOME DR, PONTIAC, MI 48341-1133
(248) 895-2998
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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