Rona Ann Shane LBSW

NPI 1104918804 - Social Worker - 104100000X

NPI Details
NPI 1104918804
Gender Female
Enumeration Date 09/29/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
IONIA MI, 48846-7506, US
Phone (616) 527-1790
Fax (616) 527-0538
Business Location
4618 2ND ST
CALEDONIA MI, 49316-9223, US
Phone (616) 891-1384
Taxonomy Code 104100000X
License State Michigan
License Number 68020664183
Remove 1104918804 NPI Number

According to our database, Rona Ann Shane LBSW NPI is 1104918804, taxonomy code is 104100000X and license number is 68020664183, license state is located at Michigan. Rona Ann Shane LBSW physically located at 375 Apple Tree Dr, Ionia MI, 48846-7506. NPI Number Rona Ann Shane LBSW has the Individual type.

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1104918804 NPI number is provided on an as is basis without warranty of any kind. 1104918804 is maintained by the National Plan & Provider Enumeration System. The contents of Rona Ann Shane LBSW are for informational purposes only.