Individual
ABDUL WASI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6451 SCHAEFER RD, DEARBORN, MI 48126-2212
(313) 945-8138
(313) 624-9418
Mailing address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(734) 262-4386
(734) 661-4501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010716
MI
104100000X
Social Worker
6802069405
MI
Other
Enumeration date
08/08/2014
Last updated
01/01/2018
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