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Individual

AZADEH AJAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
7777 FOREST LN, C-833, DALLAS, TX 75230-2505
(972) 566-4591
(972) 566-6679
Mailing address
7777 FOREST LN, C-833, DALLAS, TX 75230-2505
(972) 566-4591
(972) 566-6679

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33516
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33516
STATE LICENSE NUMBER
TX
01
5731915-2501
STATE LICENSE NUMBER
OH
Enumeration date
03/28/2007
Last updated
07/08/2007
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