Individual
MRS. LEISA CAHLEEN KHALAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLC
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-4512
Mailing address
23127 BUCKINGHAM ST, DEARBORN, MI 48128-2805
(734) 552-5358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451018528
MI
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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