Individual
MS. AMAL ABDIRIZAK JAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3055 OLD HIGHWAY 8 STE 190, SAINT ANTHONY, MN 55418-2595
(612) 267-6293
Mailing address
11333 JOHNSON ST NE, BLAINE, MN 55434-2835
(763) 710-0403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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