Daveisha Tanck's National Provider Identifier (NPI) Details
Daveisha Tanck, LCSWA
NPI: 1154840486
Enumeration Date: 2017-09-19
Last updated: 2020-06-10
Sole Proprietor: YES
Status: active
Postal Address: 919 N MAIN ST STE B, MOORESVILLE, NC
Phone: 561-317-2777
Primary Practice Address: 7943 ROLLING MEADOWS LN, HUNTERSVILLE, NC
Practice's phone: 561-317-2777