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Individual

NAFEESAH MUJAHID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
709 MILLARD ST, TALLAHASSEE, FL 32301-7037
(850) 322-6064
Mailing address
3088 HARPERS FERRY DR, TALLAHASSEE, FL 32308-9407
(850) 322-6064

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
01/26/2016
Last updated
02/02/2016
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