Individual
FATIN DUBAYBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 W 13 MILE RD APT 405, ROYAL OAK, MI 48073-2977
(248) 917-2688
Mailing address
3015 W 13 MILE RD APT 405, ROYAL OAK, MI 48073-2977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401018445
MI
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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