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Organization

WELLNESS EARLY DEVELOPMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. UBAH ISSE MOHAMUD (CEO)
(651) 322-0152
Entity
Organization

Contact information

Practice address
7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
(651) 322-0152
Mailing address
7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
(651) 322-0152

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
07/13/2022
Last updated
07/13/2022
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