Ms. Shawn D. Miracle LMSW
Clinical Social Worker in Westland, MI(View on Map)
Full Name
Ms. Shawn Denee Miracle LMSW
NPI Number
1215121694
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/29/2007
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
6801080343
Contact
Information
Purpose
Mailing
Location
Address
33800 GRAND TRAVERSE ST
33800 GRAND TRAVERSE ST
City
Westland
Westland
State
MI
MI
Postal Code
48186-4675
48186-4675
Country
US
US
Telephone Number
(734) 728-2423
(734) 728-2423
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/29/2007