Most Relevant Information
Provider Data
| NPI Number: | 1003485301 |
| Provider Name: | BUSHRA TAYAB |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801110121 |
Most Important Dates
| Enumeration Date: | 06/21/2021 |
| Last Updated: | 06/23/2021 |
Provider Practice Location
37450 SCHOOLCRAFT RD STE 110
LIVONIA
MI
481501000
Practice Location Phone/Fax
| Phone: | 7344584601 |
| Fax: | 7344584611 |
Provider Mailing Location
50708 HESPERUS
CANTON
MI
481877705
Provider Mailing Phone/Fax
| Phone: | 7342926123 |
| Fax: |