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MS. ISRAA HASSAN MAZLOUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTRL

Contact information

Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(947) 521-8604
Mailing address
26261 VAN BUREN RD, DEARBORN HTS, MI 48127-1111
(313) 585-0864

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010251
MI

Other

Enumeration date
11/21/2019
Last updated
03/24/2021
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