Individual
NDIAGA THIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1060
(906) 372-3230
Mailing address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 481-8586
(906) 483-1394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024080
MI
Other
Enumeration date
06/16/2021
Last updated
01/03/2025
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