SHANNON GROSS

Peer Specialist

Active Individual
NPI: 1801294616

Practice Address

2900 CONNER ST
Detroit, MI 48215

Phone: (313) 824-5623

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1801294616 is the National Provider Identifier for SHANNON GROSS, a Peer Specialist provider located in Detroit, MI. This NPI was enumerated on December 10, 2014.
SHANNON GROSS practices at 2900 CONNER ST, Detroit, MI 48215.

Quick Facts

NPI
1801294616
Type
Individual
Enumerated
Dec 10, 2014
Last Updated
Dec 10, 2014

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