Grace Shannon

NPI #1134924236 in Portage, Michigan

Provider Information

NPI Number
1134924236
Entity Type
Individual
Name
Grace Shannon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Feb 13, 2025
Last Updated
Feb 26, 2025

Practice Location

Address
6070 NEWPORT RD
ZIP Code
49002-9234
Phone
(269) 409-3000

Specialties & Taxonomy Codes

Specialty
Counselor

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