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1063052009
SHANNON TAVIS
BLOOMFIELD HILLS, MI
NPI
1063052009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801106220)
Enumeration Date
2020-01-07
Last Update Date
2021-07-22
Business Address
SHANNON TAVIS LMSW
36800 WOODWARD AVE STE 320
BLOOMFIELD HILLS, MI 48304-0915
Phone number: 248-325-8642
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Mailing Address
SHANNON TAVIS LMSW
36800 WOODWARD AVE STE 320
BLOOMFIELD HILLS, MI 48304-0915
Phone number: 248-457-5178
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