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Individual

IFRAJ QUIYIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S

Contact information

Practice address
1015 PORTER ST, SAVANNAH, GA 31415-5284
(404) 334-0443
Mailing address
1015 PORTER ST, SAVANNAH, GA 31415-5284
(404) 334-0443

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
1046423
FL
103TS0200X
School Psychologist
Primary
245433
GA

Other

Enumeration date
03/29/2017
Last updated
03/29/2017
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