Individual
ISHAQ MOHAMUD ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
938 SIXTH STREET, SAINT PAUL, MN 55106
(315) 450-7121
Mailing address
938 SIXTH STREET, SAINT PAUL, MN 55106
(315) 450-7121
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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