Individual
FADUMO HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 19TH ST SE, SAINT CLOUD, MN 56304-4661
(612) 636-5139
Mailing address
1406 19TH ST SE, SAINT CLOUD, MN 56304-4661
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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