Individual
HANIFA KHANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12889 HERITAGE S, WARREN, MI 48089-2088
(313) 923-4645
Mailing address
12889 HERITAGE S, WARREN, MI 48089-2088
(313) 923-4645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
10/02/2024
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