Individual
FATUMO A FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 MARQUETTE AVE, MINNEAPOLIS, MN 55403-2447
(651) 233-9868
Mailing address
1117 MARQUETTE AVE, MINNEAPOLIS, MN 55403-2447
(651) 233-9868
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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