Individual
ABDINASIR MUHUDIN HASSAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5515 S DISCH AVE APT 1, CUDAHY, WI 53110-2630
(612) 323-6877
Mailing address
5515 S DISCH AVE APT 1, CUDAHY, WI 53110-2630
(612) 323-6877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
H2500139320600
WI
Other
Enumeration date
07/09/2022
Last updated
08/31/2023
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