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Individual

MISS JACQUELENE FARRAH MOGHADDAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
815 LAWRENCE ST, APARTMENT 3, ANN ARBOR, MI 48104-8812
(714) 872-1947
Mailing address
815 LAWRENCE ST, APARTMENT 3, ANN ARBOR, MI 48104-8812
(714) 872-1947

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/08/2008
Last updated
10/08/2008
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