SHANE SIMON

LANSING, MI
NPI1356158711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: MI  6803086917)
Enumeration Date2024-12-18
Last Update Date2024-12-18
Business Address
SHANE SIMON SWT
812 E JOLLY RD
LANSING, MI 48910-6825
Phone number: 517-237-7350
Mailing Address
SHANE SIMON SWT
812 E JOLLY RD
LANSING, MI 48910-6825
Phone number: 517-237-7350
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