# FATIMA SUFI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861192353
- **Gender:** F
- **Credential:** SYSTEM ADMINISTRATOR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 411159 | MN | — |
| 122300000X | Dentist | 411159 | MN | — |
| 251J00000X | Nursing Care Agency | 411159 | MN | — |
| 253J00000X | Foster Care Agency | 411159 | MN | — |
| 261Q00000X | Clinic/Center | 411159 | MN | — |
| 261QR0400X | Rehabilitation Clinic/Center | 411159 | MN | Yes |
| 261QR0800X | Recovery Care Clinic/Center | 411159 | MN | — |
| 310400000X | Assisted Living Facility | 411159 | MN | — |

## Other

- **Enumeration date:** 03/06/2023
- **Last updated:** 03/06/2023