Individual
ANISA SUFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
741 HYACINTH AVE E, SAINT PAUL, MN 55106-1914
(612) 790-7278
Mailing address
741 HYACINTH AVE E, SAINT PAUL, MN 55106-1914
(612) 790-7278
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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