Tasha Mahone, LLBSW, QDIP, CHMP

NPI #1013578657 in Wayne, Michigan

Provider Information

NPI Number: 1013578657
Entity Type: Individual
Name: Tasha Mahone, LLBSW, QDIP, CHMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LLBSW, QDIP, CHMP
Enumeration Date: Jun 25, 2019
Last Updated: Jun 25, 2019

Practice Location

Address: 35425 W MICHIGAN AVE STE 1
City: Wayne
State: Michigan
ZIP Code: 48184-1600
Phone: (734) 722-5670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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