Individual
INTISAR O HUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1600 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2617
(612) 412-3318
Mailing address
1518 E LAKE ST STE 209, MINNEAPOLIS, MN 55407-1849
(612) 412-3318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21780
MN
Other
Enumeration date
09/21/2018
Last updated
09/27/2021
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