Most Relevant Information
Provider Data
| NPI Number: | 1003334277 |
| Provider Name: | SHANNON BAYNAI |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/07/2017 |
| Last Updated: | 05/27/2021 |
Provider Practice Location
13101 ALLEN RD
SOUTHGATE
MI
481952216
Practice Location Phone/Fax
| Phone: | 7347857700 |
| Fax: |
Provider Mailing Location
2626 LENOX
TRENTON
MI
481831925
Provider Mailing Phone/Fax
| Phone: | 7345585901 |
| Fax: |