Individual
MOHAMMED ABDUL WAJED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2519 KNOLLWOOD DR, CANTON, MI 48188-2271
(313) 304-8827
Mailing address
2519 KNOLLWOOD DR, CANTON, MI 48188-2271
(313) 304-8827
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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