Individual
FADI SOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 W HOLMES RD, LANSING, MI 48910-0426
(517) 887-0226
Mailing address
913 W HOLMES RD, LANSING, MI 48910-0426
(517) 887-0226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
12/06/2019
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