Individual
BASAK AMELIA KHAMUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
463 E CIRCLE DR, EAST LANSING, MI 48824-7500
(517) 355-8270
Mailing address
1298 STARBOARD DR, OKEMOS, MI 48864-3482
(216) 926-0415
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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