Most Relevant Information
Provider Data
| NPI Number: | 1003495136 |
| Provider Name: | ELIJAH MUHAMMAD |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2021 |
| Last Updated: | 04/06/2021 |
Provider Practice Location
1939 S DIVISION AVE
GRAND RAPIDS
MI
49507
Practice Location Phone/Fax
| Phone: | 6162473815 |
| Fax: |
Provider Mailing Location
1939 S DIVISION AVE
GRAND RAPIDS
MI
49507
Provider Mailing Phone/Fax
| Phone: | 6162473815 |
| Fax: |