THAO THI PHAN

SAINT CLAIR SHORES, MI
NPI1972241487
Professional NameCAROLYN PHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801114403)
Enumeration Date2022-05-24
Last Update Date2024-01-22
Business Address
THAO THI PHAN LMSW-C
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48080-2756
Phone number: 586-335-2006
Mailing Address
THAO THI PHAN LMSW-C
2146 PEACHTREE CT
WEST BLOOMFIELD, MI 48324-1464
Phone number: 734-218-0922