(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003554064
Provider Name: LISA DIANNE TAMS LMSW
Entity Type: Individual
Taxonomy Code: 1041C0700X
Specialty: Social Worker
License Number: 6801067410
Most Important Dates
Enumeration Date: 05/20/2022
Last Updated: 05/20/2022
Provider Practice Location
50361 HANCOCK ST
CANTON
MI
481886664
Practice Location Phone/Fax
Phone: 7347162185
Fax:
Provider Mailing Location
50361 HANCOCK ST
CANTON
MI
481886664
Provider Mailing Phone/Fax
Phone: 7347162185
Fax: