Individual
KALTUMO ISSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 E HENNEPIN AVE STE 360, MINNEAPOLIS, MN 55413-1830
(612) 703-6590
Mailing address
2021 E HENNEPIN AVE STE 360, MINNEAPOLIS, MN 55413-1830
(612) 703-6590
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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