| Lianee Tait, Lmsw | |
|
20816 E 11 Mile Rd Ste 115 Saint Clair Shores MI 48081-1579 | |
| (313) 600-7167 | |
| Not Available |
| Full Name | Lianee Tait, Lmsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20816 E 11 Mile Rd Ste 115, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Lianee C Tait (SOCIAL WORKER) |
| Authorized Official Contact | 3136007167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lianee Tait, Lmsw 20816 E 11 Mile Rd Ste 115 Saint Clair Shores MI 48081-1579 Ph: (313) 600-7167 | Lianee Tait, Lmsw 20816 E 11 Mile Rd Ste 115 Saint Clair Shores MI 48081-1579 Ph: (313) 600-7167 |
| NPI Number | 1114301751 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114301751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801081621 (Michigan) | Primary |
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