Wilson, Shaneise

Wilson, Shaneise is an individual health care provider with primary practice located at 35373 Forest St , Wayne MI 48184-1760. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson, Shaneise can be contacted via phone (734) 331-0058.

Contact Information

Primary practice address
35373 Forest St Wayne MI 48184-1760
Phone: (734) 331-0058
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801108730 Michigan
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6801091099 Michigan

Profile Details

NPI number 1568841336
LBN Legal business name Wilson, Shaneise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2015
Last updated May 11th, 2023 - about 2 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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