Individual
FARIDAH MOHAMMED KASSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1114 112TH LN NE, BLAINE, MN 55434-4547
(612) 644-8021
Mailing address
1114 112TH LN NE, BLAINE, MN 55434-4547
(612) 644-8021
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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