Individual
MS. KHOLOUD SUDQI ABU SUBAIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6451 SCHAEFER RD, DEARBORN, MI 48126-2212
(313) 945-8138
Mailing address
2651 SAULINO CT, DEARBORN, MI 48120-1556
(313) 842-7071
(313) 842-5150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017269
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265094395
—
MI
Enumeration date
06/28/2019
Last updated
04/01/2021
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