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Individual

RAVEN W SHELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22503 GRAND RIVER AVE, DETROIT, MI 48219-5030
(248) 606-1225
Mailing address
18485 FENTON ST, DETROIT, MI 48219-3012
(586) 557-3431

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
10/27/2025
Last updated
10/27/2025
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