Individual
FURQAN S AL-TAMIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
37625 PEMBROKE AVE, LIVONIA, MI 48152-1050
(313) 656-4052
Mailing address
37625 PEMBROKE AVE, LIVONIA, MI 48152-1050
(313) 656-4052
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010078
MI
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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