person
Dwayne Leon Shaw
Peer Specialist in Detroit, Michigan
NPI 1811762842

Dwayne Leon Shaw is a Peer Specialist based in Detroit, MI. Dwayne Leon Shaw practices in Detroit, MI. The NPI Number for Dwayne Leon Shaw is 1811762842 and holds a License No. (Michigan).

The current practice location address for Dwayne Leon Shaw is 1145 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-324-8900 and via fax at 314-324-8900.

Location: 1145 W Grand Blvd, Detroit, MI, 48201-1325
person
Provider Profile Details
NPI Number
1811762842
Provider Name
Dwayne Leon Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
1145 W Grand Blvd, Detroit, MI, 48201-1325
Phone Number
313-324-8900
Fax Number
314-324-8900
Provider Enumeration Date
11/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1145 W Grand Blvd
City
State
Zip
48208-2336
Phone Number
313-324-8900
Fax Number
314-324-8900
person
Provider Business Mailing Address Details
Address
1145 W Grand Blvd
City
State
Zip
48208-2336
Phone Number
313-324-8900
Fax Number
314-324-8900
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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