Individual
CANDICE KAE MOHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
490 FAIRMONT ST NE, NO BUSINESS, FRIDLEY, MN 55432-1667
(763) 717-7979
Mailing address
490 FAIRMONT ST NE, FRIDLEY, MN 55432-1667
(763) 717-7979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10756
MN
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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