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Individual

KAMAL TAYMOUR GHAZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LLMSW

Contact information

Practice address
1200 N WEST AVE, LIFEWAYS, JACKSON, MI 49202
(517) 789-1200
Mailing address
109 GARRISON DR, BROOKLYN, MI 49230-9711
(517) 745-6228

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YS0200X
School Counselor
103K00000X
Behavior Analyst
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
$$$$$$$$$
MI
Enumeration date
09/03/2021
Last updated
03/01/2022
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