Individual
TISHANNA MAYA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37450 SCHOOLCRAFT RD STE 110, LIVONIA, MI 48150-1000
(734) 458-4601
Mailing address
9737 ROLAN MEADOWS DR, VAN BUREN TWP, MI 48111-8103
(313) 456-5062
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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