Provider Information for 1104145580
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Ms. MALAIKA GHENET WARD LMSW
Sex: Female
Certification Date: 2024-10-07
Details
| Name | Value | ||||||||||||||||||||||||||||
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| NPI | 1104145580 | ||||||||||||||||||||||||||||
| Enumeration Date | 2010-05-24 | ||||||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||||||
| Mailing Address | 26130 W 12 MILE RD APT 217 SOUTHFIELD, MI 48034-1779 United States Phone: 248-460-6529 | Fax: | ||||||||||||||||||||||||||||
| Primary Practice Address | 22720 WOODWARD AVE STE 105 FERNDALE, MI 48220-1752 United States Phone: 248-399-8032 | Fax:248-399-8042 | ||||||||||||||||||||||||||||
| Secondary Practice Address(es) | 26130 W 12 MILE RD APT 217 25521 5 MILE RD 61 N HURON ST 29400 VAN DYKE AVE STE 102 1570 FORT ST | ||||||||||||||||||||||||||||
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