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Individual

AMANDA MAKHZOUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
11480 E 13 MILE RD, WARREN, MI 48093-2566
(586) 216-9253
Mailing address
1846 CULVER AVE, DEARBORN, MI 48124-4106

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801097393
MI

Other

Enumeration date
12/01/2022
Last updated
12/01/2022
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