Individual
NIKET NNEKA ALLEN-FAHNBULLEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3034 BOONE AVE N, NEW HOPE, MN 55427-2419
(612) 701-3202
Mailing address
3034 BOONE AVE N, NEW HOPE, MN 55427-2419
(612) 701-3202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25162
MN
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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