Individual
RASHIDAH SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121-1567
(651) 802-2533
Mailing address
9562 KILMER LN N, MAPLE GROVE, MN 55369-7564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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