Most Relevant Information
Provider Data
NPI Number: | 1003275819 |
Provider Name: | RAJAH ISMAIL LLMSW |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 02/22/2016 |
Last Updated: | 02/08/2022 |
Provider Practice Location
6450 MAPLE ST
DEARBORN
MI
481262259
Practice Location Phone/Fax
Phone: | 3132162200 |
Fax: | 3135843622 |
Provider Mailing Location
2651 SAULINO CT
DEARBORN
MI
481201556
Provider Mailing Phone/Fax
Phone: | 3138427010 |
Fax: | 3138425150 |