Female

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)

Code

1041C0700X

Primary Taxonomy

Yes

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

Provider Address

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