Shannon Wild
Shannon Wild is a Community/Behavioral Health Agency in Royal Oak, Michigan. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1110 Catalpa DrRoyal Oak, MI 48067-1125
Phone: (248) 971-0383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1861750747 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 27, 2012 |
| Last updated in NPPES | April 27, 2012 |
| Mailing address | 37690 Charter Oaks Blvd, Clinton Township, MI 48036-2424 |
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