Individual
ISTAHIL MOHAMED ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 PLAZA DR, EAGAN, MN 55122-2613
(763) 298-5123
Mailing address
1875 PLAZA DR, EAGAN, MN 55122-2613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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