Individual
FADHA ABDI ABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 STINSON BLVD STE 314, MINNEAPOLIS, MN 55421-3424
(612) 298-7636
(651) 354-3801
Mailing address
346 PIERCE ST NE, MINNEAPOLIS, MN 55413-2512
(651) 675-6287
(612) 354-3801
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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