Organization
FM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMA MALLICK LLMSW (OWNER)
(734) 945-2507
Entity
Organization
Contact information
Practice address
1905 S HAGGERTY RD # 40, CANTON, MI 48188-2025
(734) 945-2507
Mailing address
1905 S HAGGERTY RD # 40, CANTON, MI 48188-2025
(734) 945-2507
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/17/2025
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