Individual
DANIELLE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1115 BALL AVE NE, BUILDING B, GRAND RAPIDS, MI 49505-5904
(616) 451-3001
Mailing address
1115 BALL AVE NE, BUILDING B, GRAND RAPIDS, MI 49505-5904
(616) 451-3001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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