Healthcare Provider Details

I. General information

NPI: 1063177905
Provider Name (Legal Business Name): ALAA HOJEIJ LMSW-CLINICAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARKLANE BLVD STE 1200E
DEARBORN MI
48126-4244
US

IV. Provider business mailing address

6545 ROBINDALE AVE
DEARBORN HEIGHTS MI
48127-2165
US

V. Phone/Fax

Practice location:
  • Phone: 313-681-3358
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801106693
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: