Individual
SAFAA ISSAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1025 E FOREST AVE, DETROIT, MI 48207-1024
(313) 833-2692
Mailing address
27324 STRAWBERRY LN APT 203, FARMINGTON HILLS, MI 48334-5049
(810) 624-4204
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018025
MI
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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