SHANNON ROOT-HERNANDEZ

LIVONIA, MI
NPI1104208149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801100500)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  21905)
Enumeration Date2015-06-26
Last Update Date2018-12-31
Business Address
SHANNON ROOT-HERNANDEZ LMSW
31500 SCHOOLCRAFT RD
LIVONIA, MI 48150-1805
Phone number: 734-422-9340
Mailing Address
SHANNON ROOT-HERNANDEZ LMSW
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346-4824
Phone number: 248-620-6400