Individual
ELIZABETH SHANNON PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12679 LONGTIN ST, SOUTHGATE, MI 48195-1770
(586) 855-9676
Mailing address
12679 LONGTIN ST, SOUTHGATE, MI 48195-1770
(586) 855-9676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
81-4145666
MI
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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