Individual
SHAMONE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11150 EAST JEFFERSON, DETROIT, MI 48214
(888) 813-8326
Mailing address
20871 HUNT CLUB DR, HARPER WOODS, MI 48225-1714
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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