Provider Demographics
NPI:1457694317
Name:MUHAMMAD, KALEEMA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:KALEEMA
Middle Name:
Last Name:MUHAMMAD
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 1:11030 WILDLIFE TRL
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-4119
Mailing Address - Country:US
Mailing Address - Phone:850-212-7673
Mailing Address - Fax:
Practice Address - Street 1:11030 WILDLIFE TRL
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-4119
Practice Address - Country:US
Practice Address - Phone:850-212-7673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker