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1750882668
SHANNON GRACE BROCKERT
WARREN, MI
NPI
1750882668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801102228)
Enumeration Date
2018-02-26
Last Update Date
2019-02-08
Business Address
SHANNON GRACE BROCKERT
30101 HOOVER RD
WARREN, MI 48093-6572
Phone number: 586-558-6868
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Mailing Address
SHANNON GRACE BROCKERT
20601 YALE ST
SAINT CLAIR SHORES, MI 48081-1779
Phone number: 586-460-8830
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