KEITH MOSA-BASHA

ROYAL OAK, MI
NPI1518433895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801103203)
Enumeration Date2018-10-15
Last Update Date2018-10-15
Business Address
Mr. KEITH MOSA-BASHA MSW
30701 WOODWARD AVE
ROYAL OAK, MI 48073-0987
Phone number: 248-288-9333
Mailing Address
Mr. KEITH MOSA-BASHA MSW
1720 TIVERTON RD UNIT 22
BLOOMFIELD HILLS, MI 48304-2373
Phone number: 248-930-9189
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