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Organization

LIANEE TAIT, LMSW

Active
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Organization

LIANEE TAIT, LMSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIANEE C TAIT LMSW (SOCIAL WORKER)
(313) 600-7167
Entity
Organization

Contact information

Practice address
20816 E 11 MILE RD STE 115, SAINT CLAIR SHORES, MI 48081-1579
(313) 600-7167
Mailing address
20816 E 11 MILE RD STE 115, SAINT CLAIR SHORES, MI 48081-1579
(313) 600-7167

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801081621
MI

Other

Enumeration date
07/14/2015
Last updated
07/14/2015
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