Individual
TABATHA LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
PO BOX 4, NEWPORT, MI 48166-0004
(313) 673-7121
Mailing address
PO BOX 4, NEWPORT, MI 48166-0004
(313) 673-7121
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
11/21/2022
Last updated
06/09/2026
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