Individual
OBSA MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
929 PORTLAND AVE APT 2407, MINNEAPOLIS, MN 55404-1277
(612) 226-0907
Mailing address
2520 RHODE ISLAND AVE N APT 8, GOLDEN VALLEY, MN 55427-3590
(612) 226-0907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
347C00000X
Private Vehicle
902963300022
MN
Other
Enumeration date
02/17/2017
Last updated
10/25/2021
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