Individual
DALIA ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15173 NORTH RD STE 100, FENTON, MI 48430-1381
(810) 771-4074
Mailing address
15173 NORTH RD STE 100, FENTON, MI 48430-1381
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851117309
MI
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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