Organization
SMILEY THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBAN AHMED (OWNER)
(763) 742-6978
Entity
Organization
Contact information
Practice address
2415 EMERSON AVE S, MINNEAPOLIS, MN 55405-2602
(763) 742-6978
Mailing address
2415 EMERSON AVE S, MINNEAPOLIS, MN 55405-2602
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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