Individual
TIA LOUISE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW
Contact information
Practice address
2009 HUNTINGTON BLVD, GROSSE POINTE WOODS, MI 48236-1981
(313) 330-2901
Mailing address
2009 HUNTINGTON BLVD, GROSSE POINTE WOODS, MI 48236-1981
(313) 330-2901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801063612
MI
1041S0200X
School Social Worker
Primary
6801063612
MI
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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