Most Relevant Information
Provider Data
| NPI Number: | 1003515149 |
| Provider Name: | YAASMEEN SIDDEEQA MUSLIMA IBRAHIM LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 109796 |
Most Important Dates
| Enumeration Date: | 02/27/2023 |
| Last Updated: | 02/27/2023 |
Provider Practice Location
5010 MAYFIELD RD STE 210
LYNDHURST
OH
441242692
Practice Location Phone/Fax
| Phone: | 2165054774 |
| Fax: |
Provider Mailing Location
12400 SHADOW CREEK PKWY APT 202
PEARLAND
TX
775847348
Provider Mailing Phone/Fax
| Phone: | 6308901342 |
| Fax: |