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1780059360
SHANA WIRTH
CLARKSTON, MI
NPI
1780059360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401006274)
Enumeration Date
2015-12-08
Last Update Date
2015-12-08
Business Address
-- SHANA WIRTH MA, LPC
3694 CLARKSTON RD SUITE D
CLARKSTON, MI 48348-5213
Phone number: 248-693-8880
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Mailing Address
-- SHANA WIRTH MA, LPC
8907 STONEWALL DR
CLARKSTON, MI 48348-4201
Phone number: 248-884-4886
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