Individual
KEBRA GEBREAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5775 WAYZATA BLVD STE 700, ST LOUIS PARK, MN 55416-1233
(763) 312-1878
(763) 316-3123
Mailing address
5775 WAYZATA BLVD STE 700, ST LOUIS PARK, MN 55416-1233
(763) 312-1878
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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