SHANNON WILD

ROYAL OAK, MI
NPI1861750747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2012-04-27
Last Update Date2012-04-27
Business Address
-- SHANNON WILD
1110 CATALPA DR
ROYAL OAK, MI 48067-1125
Phone number: 248-971-0383
Mailing Address
-- SHANNON WILD
37690 CHARTER OAKS BLVD
CLINTON TOWNSHIP, MI 48036-2424
Phone number:
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