Individual
MISS REEM BAHA FAKHERDDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA TLLP
Contact information
Practice address
8623 N WAYNE RD, WESTLAND, MI 48185-1137
(734) 367-0469
Mailing address
6434 KENDAL ST, DEARBORN, MI 48126-2149
(313) 520-0055
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018111
MI
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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