Individual
FATHI ABDULLAHI KOFIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
8030 OLD CEDAR AVE S, BLOOMINGTON, MN 55425-1213
(763) 209-8263
Mailing address
1509 W 86TH ST, BLOOMINGTON, MN 55431-2071
(763) 209-8263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27112
MN
Other
Enumeration date
04/16/2021
Last updated
07/23/2025
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