Kelly, Shannon Mary
Kelly, Shannon Mary is an sole proprietor health care provider with primary practice located at 42189 Ann Arbor Rd E , Plymouth MI 48170-4370. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Shannon Mary can be contacted via phone (734) 453-5603.Contact Information
Primary practice address
42189 Ann Arbor Rd E
Plymouth MI 48170-4370
Phone: (734) 453-5603
Fax: (734) 453-5619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1487704987 |
|---|---|
| LBN Legal business name | Kelly, Shannon Mary |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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