Individual
SHIRLEY DOWON NGWESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2761 15TH ST NW, NEW BRIGHTON, MN 55112-6335
(612) 443-8611
Mailing address
2761 15TH ST NW, NEW BRIGHTON, MN 55112-6335
(612) 443-8611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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