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Individual

HANNAH TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
35524 W CHICAGO ST, LIVONIA, MI 48150-2519
(586) 850-3957
Mailing address
35524 W CHICAGO ST, LIVONIA, MI 48150-2519
(586) 850-3957

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022881
101YM0800X
Mental Health Counselor
6451022881
MI

Other

Enumeration date
11/08/2023
Last updated
11/08/2023
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