Individual
MR. DAVID GRANT SHIELDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1007 E WELLS STREET, SOUTH HAVEN, MI 49090
(269) 637-5297
(269) 637-9238
Mailing address
801 HAZEN STREET SUITE C, PO BOX 249, PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-3474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801079100
MI
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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