Individual
MISS TANESHA WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801098485
MI
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
02/03/2017
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