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Organization
MIMO BACKFIN BLUES
Active
Organization
MIMO BACKFIN BLUES
Active
Other names
Mimo Backfin Blues
Organization subpart
No
Provider details
NPI number
Authorized official
AYMEN ABEDELHAY OWNER (CEO)
(443) 509-1527
Entity
Organization
Contact information
Practice address
500 EDGEWOOD RD STE 202, EDGEWOOD, MD 21040-2734
(443) 967-4656
Mailing address
500 EDGEWOOD RD STE 202, EDGEWOOD, MD 21040-2734
(443) 967-4656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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