Individual
MS. KRISTINA NICOLE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(586) 914-2160
Mailing address
13210 IRVINE BLVD, OAK PARK, MI 48237-3618
(248) 971-8003
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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