Individual
HIRA FATIMAH AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5281 CLYDE PARK AVE SW, SUITE 2, WYOMING, MI 49509-9506
(616) 719-4263
(616) 719-4267
Mailing address
5281 CLYDE PARK AVE SW, SUITE 2, WYOMING, MI 49509-9506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801095059
MI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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