Individual
FADUMA MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 1ST ST N, SAINT CLOUD, MN 56303-4000
(612) 806-9954
Mailing address
3400 1ST ST N, SAINT CLOUD, MN 56303-4000
(612) 806-9954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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