Individual
ABDIRISAQ KHALIF IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2740 36TH ST S APT 301, MOORHEAD, MN 56560-8216
(218) 790-9816
Mailing address
2740 36TH ST S APT 301, MOORHEAD, MN 56560-8216
(218) 790-9816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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