Individual
KASIM ABDURRAZZAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LICSW
Contact information
Practice address
1041 SELBY AVE, SAINT PAUL, MN 55104-6535
(612) 813-5034
(651) 925-0044
Mailing address
1437 MARSHALL AVE, SUITE 102, SAINT PAUL, MN 55104-6350
(651) 329-6171
(651) 340-9266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19934
MN
Other
Enumeration date
01/29/2014
Last updated
08/12/2016
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