Individual
KENAN OMBASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16892 LIMONITE TER NW, RAMSEY, MN 55303-2361
(763) 300-4069
Mailing address
16892 LIMONITE TER NW, RAMSEY, MN 55303-2361
(763) 300-4069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22184
MN
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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