Search › Michigan › 1041C0700X
Thao Phan, LMSW-C
NPI 1972241487 · on the registry since 2022 · sole proprietor
Practice
- Address
- 23100 Jefferson Ave
Saint Clair Shores, MI 48080 - Phone
- (586) 335-2006
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-22
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan