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1114584927
SHANNON MARTIN
WEST BLOOMFIELD, MI
NPI
1114584927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
SHANNON MARTIN LMSW
5600 W MAPLE RD STE 302
WEST BLOOMFIELD, MI 48322-3700
Phone number: 248-920-8660
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Mailing Address
SHANNON MARTIN LMSW
PO BOX 7292
BLOOMFIELD HILLS, MI 48302-7292
Phone number: 248-920-8660
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