Individual
MRS. AMY LYNN SHAGENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 E MARSHALL ST, FERNDALE, MI 48220-2524
(248) 752-4464
Mailing address
275 E MARSHALL ST, FERNDALE, MI 48220-2524
(248) 752-4464
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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