SearchMichigan1041C0700X

Shea Wallus, LMSW

NPI 1417343146 · on the registry since 2015

Practice

Address
1430 Monroe Ave Nw
Ste 120
Grand Rapids, MI 49505
Phone
(616) 685-3330
Fax
(616) 685-8915
Clinicians at this address
12

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-13

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