Individual
SAMAH IKRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAT, RDT
Contact information
Practice address
1195 MARCELLA LN, WEST CHICAGO, IL 60185-5061
(510) 499-4205
Mailing address
787 ROBERT AVE, MADERA, CA 93636-6543
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
002588
NY
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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