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1043915960
PHILLIP SHANNON
DETROIT, MI
NPI
1043915960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
PHILLIP SHANNON
19299 BERG RD
DETROIT, MI 48219-1712
Phone number: 313-960-6137
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Mailing Address
PHILLIP SHANNON
90 SELDEN ST
DETROIT, MI 48201-2062
Phone number: 313-960-6137
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