Individual
ISMAHAN ABDIRAHMAN MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4236 PARKGLEN RD, ST LOUIS PARK, MN 55416
(612) 636-7188
Mailing address
4236 PARKGLEN RD, ST LOUIS PARK, MN 55416
(612) 636-7188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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