Most Relevant Information
Provider Data
| NPI Number: | 1003347089 |
| Provider Name: | SHANNON L HAYES LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801070010 |
Most Important Dates
| Enumeration Date: | 03/22/2017 |
| Last Updated: | 03/22/2017 |
Provider Practice Location
3493 WOODS EDGE STE 103
OKEMOS
MI
488646030
Practice Location Phone/Fax
| Phone: | 5178863707 |
| Fax: | 5173491973 |
Provider Mailing Location
3493 WOODS EDGE STE 103
OKEMOS
MI
488646030
Provider Mailing Phone/Fax
| Phone: | 5178863707 |
| Fax: | 5173491973 |