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Individual

EFRAH TIFOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2614 NICOLLET AVE STE 209, MINNEAPOLIS, MN 55408-1628
(612) 354-3995
(612) 354-3996
Mailing address
2614 NICOLLET AVE STE 209, MINNEAPOLIS, MN 55408-1628
(612) 354-3995
(612) 354-3996

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
MN

Other

Enumeration date
10/04/2021
Last updated
10/04/2021
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