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1003554064
LISA DIANNE TAMS
CANTON, MI
NPI
1003554064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801067410)
Enumeration Date
2022-05-20
Last Update Date
2022-05-20
Business Address
LISA DIANNE TAMS LMSW
50361 HANCOCK ST
CANTON, MI 48188-6664
Phone number: 734-716-2185
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Mailing Address
LISA DIANNE TAMS LMSW
50361 HANCOCK ST
CANTON, MI 48188-6664
Phone number: 734-716-2185
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