Individual
FATIMA MALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S HAGGERTY RD # 40, CANTON, MI 48188-2025
(734) 945-2507
Mailing address
1905 S HAGGERTY RD # 40, CANTON, MI 48188-2025
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851105717
MI
Other
Enumeration date
05/18/2017
Last updated
03/17/2025
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