Individual
MARIAM MUKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 LAKE LANSING RD, LANSING, MI 48912-3798
(810) 494-7180
Mailing address
1575 CRANWOOD CT, OKEMOS, MI 48864-2303
(517) 366-0977
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301017146
MI
Other
Enumeration date
10/27/2015
Last updated
10/22/2024
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