Female

Tanesha Terrell LLMSW

Clinical Social Worker in New Haven, MI(View on Map)

Full Name

Tanesha Terrell LLMSW

NPI Number

1699370627

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/30/2020

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

6801108076

Contact
Information

Purpose

Mailing
Location

Address

30061 JOHN RIVERS DR
30061 JOHN RIVERS DR

City

New Haven
New Haven

State

MI
MI

Postal Code

48048-1818
48048-1818

Country

US
US

Telephone Number

(586) 746-4297
(586) 746-4297

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/30/2020

Provider Address

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