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Individual

AMIRA KHALIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPS, LADC

Contact information

Practice address
2118 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2415
(612) 235-4729
(612) 872-8855
Mailing address
2118 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2415
(612) 235-4729

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3549
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
305812
MN

Other

Enumeration date
06/02/2021
Last updated
02/27/2024
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