Individual
EBRAHIM SAFAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44450 PINETREE DR, PLYMOUTH, MI 48170-3869
(089) 773-8734
Mailing address
17539 MELROSE ST, SOUTHFIELD, MI 48075-4259
(313) 912-9126
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362009802
MI
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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