Individual
MAINHIA MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(612) 596-0829
Mailing address
7330 VAN BUREN ST NE, FRIDLEY, MN 55432-3440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21125
MN
Other
Enumeration date
02/04/2016
Last updated
02/28/2019
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