Individual provider · NPI-1

Mariam Akanan, LLMSW

Social Worker · Saint Clair Shores, MI

NPI number1003541574
StatusActive
Last updated in NPPESMar 28, 2023

Details

NPI
1003541574
Entity type
Individual (NPI-1)
Name
Mariam Akanan
Credential
LLMSW
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2022
Certification date
Mar 28, 2023
Last updated
Mar 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker6851115403MIYes

Practice location

22811 Greater Mack Ave Ste 111
Saint Clair Shores, MI 48080-2053

Phone 586-335-2006

Mailing address

7296 Mayburn St
Dearborn Heights, MI 48127-1762

Phone 313-788-3643

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