Individual
IFRAH YUSUF MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 E LAKE ST, SUITE 104, MINNEAPOLIS, MN 55407-1776
(612) 822-1203
(612) 871-2161
Mailing address
1304 E LAKE ST, SUITE 104, MINNEAPOLIS, MN 55407-1776
(612) 822-1203
(612) 871-2161
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22347
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311700000X
—
MN
Enumeration date
04/21/2016
Last updated
04/21/2016
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