GRACE SHANNON

PORTAGE, MI
NPI1134924236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: MI  6851119519)
Enumeration Date2025-02-13
Last Update Date2025-02-26
Business Address
GRACE SHANNON
6070 NEWPORT RD
PORTAGE, MI 49002-9234
Phone number: 269-409-3000
Mailing Address
GRACE SHANNON
4337 SUFFIELD WOODS AVE
PORTAGE, MI 49002-5884
Phone number: 269-303-4803
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