Provider Demographics
NPI:1235420027
Name:KYROLAINEN, SHANDELLE LYNN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SHANDELLE
Middle Name:LYNN
Last Name:KYROLAINEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:SHANDELLE
Other - Middle Name:LYNN
Other - Last Name:MECOMBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1085 S LINDEN RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3421
Mailing Address - Country:US
Mailing Address - Phone:810-732-3240
Mailing Address - Fax:810-230-0280
Practice Address - Street 1:1125 S LINDEN RD
Practice Address - Street 2:SUITE 700
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-4073
Practice Address - Country:US
Practice Address - Phone:810-733-2011
Practice Address - Fax:810-733-1872
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010714221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical