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Audreanna Shannon
NPI 1225676596 · on the registry since 2019
Practice
- Address
- 707 W Milwaukee St
Detroit, MI 48202 - Phone
- (313) 422-5549
- Organisation at this address
- Detroit Wayne Mental Health Authority
Detroit Wayne Mental Health Authority
Detroit Wayne Integrated Health NetworkInferred from a shared address, not stated in the registry. - Clinicians at this address
- 263
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101Y00000X
101YP2500X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan