Individual
HANAN KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
1485 MONTIE RD, LINCOLN PARK, MI 48146-1560
(313) 478-1129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851111035
MI
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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