Shannon Tavis, LMSW
NPI #1063052009 in Bloomfield Hills, Michigan
Provider Information
- NPI Number
- 1063052009
- Entity Type
- Individual
- Name
- Shannon Tavis, LMSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LMSW
- Enumeration Date
- Jan 7, 2020
- Last Updated
- Jul 22, 2021
Practice Location
- Address
- 36800 WOODWARD AVE STE 320
- City
- Bloomfield Hills
- State
- Michigan
- ZIP Code
- 48304-0915
- Phone
- (248) 325-8642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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