Provider Demographics
NPI:1245572650
Name:FATMI, AABEDA HAQUE (MSW)
Entity Type:Individual
Prefix:MS
First Name:AABEDA
Middle Name:HAQUE
Last Name:FATMI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 NW 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-2835
Mailing Address - Country:US
Mailing Address - Phone:786-360-2526
Mailing Address - Fax:786-360-2526
Practice Address - Street 1:1239 NW 34TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-2835
Practice Address - Country:US
Practice Address - Phone:786-360-2526
Practice Address - Fax:786-360-2526
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-23
Last Update Date:2013-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker