MR. Shannon M Packingham
NPI #1225651268 in Benton Harbor, Michigan
Provider Information
- NPI Number
- 1225651268
- Entity Type
- Individual
- Name
- MR. Shannon M Packingham
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 26, 2020
- Last Updated
- May 26, 2020
Practice Location
- Address
- 1485 M 139
- City
- Benton Harbor
- State
- Michigan
- ZIP Code
- 49022-5711
- Phone
- (269) 934-0585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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