Individual
SHELLEY LEE KNOODLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR
Contact information
Practice address
4646 JOHN R, JOHN D DINGELL VAMC 553/11G-PM, DETROIT, MI 48201
(313) 576-1000
(313) 576-1246
Mailing address
3116 GLOUCHESTER AVE., #110, TROY, MI 48084-2729
(248) 816-3226
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
99-107
CA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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