Lillian Irene Shaner
NPI #1982462594 in Bridgeport, Michigan
Provider Information
- NPI Number
- 1982462594
- Entity Type
- Individual
- Name
- Lillian Irene Shaner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 8, 2024
- Last Updated
- Mar 8, 2024
Practice Location
- Address
- 6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
- City
- Bridgeport
- State
- Michigan
- ZIP Code
- 48722-9655
- Phone
- (989) 401-1239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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