Shannan Lustig
Shannan Lustig is a Clinical Social Worker in Livonia, Michigan. Licensed in Michigan. Registered with an NPI since 2021.
- Licensed in
- MI
- In the registry since
- 2021
Practice location Address checks out
17177 N Laurel Park Dr Ste 131Livonia, MI 48152-3952
Phone: (734) 462-3210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 6801116716 (MI) |
|---|
Record details
| NPI number | 1053904615 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 15, 2021 |
| Last updated in NPPES | August 1, 2023 |
| Certification date | May 26, 2021 |
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