Individual
SANAA K DAKHLALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LSST
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 285-2430
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 285-2430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803086321
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
MI
Enumeration date
02/21/2013
Last updated
02/21/2013
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