Individual
MOWAFAG MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8416 XERXES AVE N, BROOKLYN PARK, MN 55444-1469
(651) 493-5102
(651) 666-1236
Mailing address
8416 XERXES AVE N, BROOKLYN PARK, MN 55444-1469
(651) 493-5102
(651) 666-1236
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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