Individual
MS. AL-QUIYAMAH GHAFUR FAIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1606 SAWGRASS DR SW, PALM BAY, FL 32908-1126
(404) 819-5802
(321) 327-2483
Mailing address
1606 SAWGRASS DR SW, PALM BAY, FL 32908-1126
(404) 819-5802
(321) 327-2483
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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