Individual
EMMANUEL TANIMOJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 PORTLAND AVE, MC-963, MINNEAPOLIS, MN 55415-1533
(651) 214-4032
Mailing address
2277 HIGHWAY 36 W, STE 306, ROSEVILLE, MN 55113-3830
(651) 214-4032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22519
MN
Other
Enumeration date
08/30/2016
Last updated
07/29/2019
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