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Individual

ASHA MOHAMED HASSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
(651) 322-0152
Mailing address
12700 NICOLLET AVE APT 128, BURNSVILLE, MN 55337-2875
(470) 641-8980

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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