Tammy Gannon

NPI #1407298953 in White Lake, Michigan

Provider Information

NPI Number: 1407298953
Entity Type: Individual
Name: Tammy Gannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 25, 2013
Last Updated: Jul 25, 2013

Practice Location

Address: 8183 HIGH POINT TRL
City: White Lake
State: Michigan
ZIP Code: 48386-3545
Phone: (734) 812-1397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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