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Individual

SHIMIKA RENA CHILLOUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
35000 DIVISION RD STE 2, RICHMOND, MI 48062-1566
(586) 727-5529
Mailing address
43961 BAYVIEW AVE APT 38108, CLINTON TOWNSHIP, MI 48038-7251

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015303
MI

Other

Enumeration date
03/13/2018
Last updated
03/13/2018
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