Lisa Dianne Tams, LMSW
Social Worker, Clinical in Canton, MI. Individual provider (NPI-1).
NPI number1003554064
StatusActive
Last updated in NPPESMay 20, 2022
Details
- NPI
- 1003554064
- Entity type
- Individual (NPI-1)
- Name
- Lisa Dianne Tams
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 20, 2022
- Certification date
- May 20, 2022
- Last updated
- May 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801067410 | MI | Yes |
Practice location
50361 Hancock StCanton, MI 48188-6664
Phone 734-716-2185
Mailing address
50361 Hancock StCanton, MI 48188-6664
Phone 734-716-2185
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