Individual
SAMAN DAWISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7718
Mailing address
23665 VALLEY STARR, NOVI, MI 48375-3648
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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