Shannon Stover
NPI #1407572902 in Mount Clemens, Michigan
Provider Information
- NPI Number
- 1407572902
- Entity Type
- Individual
- Name
- Shannon Stover
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 17, 2022
- Last Updated
- Oct 17, 2022
Practice Location
- Address
- 42 S WILSON BLVD
- City
- Mount Clemens
- State
- Michigan
- ZIP Code
- 48043-2146
- Phone
- (586) 265-1778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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