Individual
FADUMO MOHAMED MOHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6027 W 37TH ST APT 118, SAINT LOUIS PARK, MN 55416-2406
(952) 262-9755
Mailing address
6027 W 37TH ST APT 118, SAINT LOUIS PARK, MN 55416-2406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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