Individual
ABDIHAKIN MOHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8673 COLUMBINE RD, EDEN PRAIRIE, MN 55344-7668
(612) 964-0142
Mailing address
3200 SOUTHDALE CIR, EDINA, MN 55435-5162
(614) 815-8289
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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