Individual
CELIA SHALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22151 MOROSS RD, PB1, DETROIT, MI 48236-2167
(313) 343-7230
Mailing address
401 N YORK ST, DEARBORN, MI 48128-1747
(248) 860-6515
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S440112585790
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093779
—
MI
Enumeration date
10/04/2016
Last updated
10/04/2016
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