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Lianee Tait, Lmsw

Social Worker, Clinical in Saint Clair Shores, MI. Organization (NPI-2).

NPI number1114301751
StatusActive
Last updated in NPPESJul 14, 2015

Details

NPI
1114301751
Entity type
Organization (NPI-2)
Legal business name
Lianee Tait, Lmsw
Organization subpart
No
Enumeration date
Jul 14, 2015
Last updated
Jul 14, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801081621MIYes

Practice location

20816 E 11 Mile Rd Ste 115
Saint Clair Shores, MI 48081-1579

Phone 313-600-7167

Mailing address

20816 E 11 Mile Rd Ste 115
Saint Clair Shores, MI 48081-1579

Phone 313-600-7167

Authorized official

Lianee C Tait
Social Worker
3136007167

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