Individual
AMAL KASSEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25151 NEWTON ST, DEARBORN, MI 48124-1219
(313) 805-8000
Mailing address
25151 NEWTON ST, DEARBORN, MI 48124-1219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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