Individual
ABDIJABAR DIRIYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 1ST ST N, SAINT CLOUD, MN 56303-4000
(612) 806-9954
Mailing address
3400 1ST ST N, SAINT CLOUD, MN 56303-4000
(612) 806-9954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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