Individual
BAHJO HUSSEIN MAHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3055 OLD HIGH WAY 8 SUITE 202, ST ANTHONY, MN 55418-1432
(612) 703-7465
(651) 493-2933
Mailing address
2021 E HENNEPIN AVE STE 402, MINNEAPOLIS, MN 55413-1867
(612) 703-7465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
01/18/2022
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