Individual
ABDIRASHIED LIBAN COWKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1380 ENERGY LN STE 201, SAINT PAUL, MN 55108-5253
(763) 346-0522
Mailing address
2101 BRYANT AVE S APT 307, MINNEAPOLIS, MN 55405-2838
(612) 297-4639
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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