Individual
HAWO IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
13209 SHERBURNE AVE #108, BECKER, MN 55308
(952) 769-6893
Mailing address
13209 SHERBURNE AVE #108, BECKER, MN 55308
(952) 769-6893
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305399
MN
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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