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: |