Individual
FATUMA HASSAN FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4008 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-3306
(161) 238-7696
Mailing address
4008 MINNEHAHA AVE, MINNEAPOLIS, MN 55406-3306
(612) 387-6968
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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