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Individual

MR. ABDULAHI ABDI MOHAMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
2700 E. LAKE STREET, SUITE 2100, MINNEAPOLIS, MN 55406
(612) 767-7770
(612) 767-7772
Mailing address
2700 E LAKE ST, SUITE 2100, MINNEAPOLIS, MN 55406-1963
(612) 767-7770
(612) 767-7772

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17530
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568778660
MN
Enumeration date
12/03/2009
Last updated
01/20/2017
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