Individual
FADUMA ABDULLAHI MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 4TH ST N, LAKE ELMO, MN 55042-4537
(612) 867-5647
Mailing address
9420 4TH ST N, LAKE ELMO, MN 55042-4537
(612) 867-5647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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