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NPI Code Detail

MEDICARE: TANYA DUSSEAU LMSW

MEDICARE: TANYA DUSSEAU LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2104100000XSocial Worker6801108305MI

General Provider Information

NPI Number : 1447728829
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA DUSSEAU LMSW
Provider Business Mailing Address
First Line : 100 MADISON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 502 E CUMMINS ST
Second Line :
City : TECUMSEH
State : MI
Zip : 49286-2074
Country : US
Telephone Number : 517-423-3887
Fax Number : 517-423-9433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2018
Last Update Date : 07/02/2025

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Directions to “ TANYA DUSSEAU LMSW” Practice Location

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