Individual
TANIESHA DENICE SNEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S, LSST
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
21816 HILL ST, WARREN, MI 48091-3688
(313) 402-6997
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803086509
MI
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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