Individual
FATIN JAFRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, TLLP
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 780-1122
Mailing address
1457 BROOKDALE DR, CANTON, MI 48188-5006
(313) 456-5643
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009865
MI
Other
Enumeration date
03/20/2020
Last updated
12/04/2023
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