SHANNON LEE WALTZ

ADRIAN, MI
NPI1740012756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MI  6851115127)
Enumeration Date2024-08-19
Last Update Date2024-08-19
Business Address
Ms. SHANNON LEE WALTZ
770 RIVERSIDE AVE STE 14
ADRIAN, MI 49221-1465
Phone number: 517-438-8144
Mailing Address
Ms. SHANNON LEE WALTZ
1859 HAROLD ST
ADRIAN, MI 49221-4461
Phone number: 517-759-9213