Individual provider · NPI-1

Shannika Gilbert

Day Training/Habilitation Specialist · Detroit, MI

NPI number1710405048
StatusActive
Last updated in NPPESSep 7, 2017

Details

NPI
1710405048
Entity type
Individual (NPI-1)
Name
Mrs. Shannika Gilbert
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 7, 2017
Last updated
Sep 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

12075 Sorrento St
Detroit, MI 48227-3751

Phone 313-753-1721 · Fax 313-753-1721

Mailing address

12075 Sorrento St
Detroit, MI 48227-3751

Phone 313-753-1721

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