Individual
MS. NOREEN F SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3506 GRATIOT AVE, DETROIT, MI 48207-1830
(313) 887-6757
Mailing address
13920 BRAMELL ST, DETROIT, MI 48223-2523
(313) 255-0902
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704178566
MI
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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