Individual
BEKAM MERDASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2432 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1706
(203) 687-6925
Mailing address
6042 CANDACE AVE, INVER GROVE HEIGHTS, MN 55076-4489
(203) 687-5925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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