Jasmine Koussa
NPI #1710748017 in South Lyon, Michigan
Provider Information
- NPI Number
- 1710748017
- Entity Type
- Individual
- Name
- Jasmine Koussa
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Enumeration Date
- Jan 23, 2024
- Last Updated
- Jan 23, 2024
Practice Location
- Address
- 127 N LAFAYETTE ST
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-1210
- Phone
- (248) 573-7417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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