Individual
IKRAN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 W DIVISION ST, SAINT CLOUD, MN 56301-4515
(612) 806-9954
(306) 669-2882
Mailing address
3333 W DIVISION ST, SAINT CLOUD, MN 56301-4515
(612) 806-9954
(306) 669-2882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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