Individual
HIBAQ MOHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
938 6TH ST E, SAINT PAUL, MN 55106-4504
(315) 450-7121
Mailing address
2490 WOODBRIDGE ST, SAINT PAUL, MN 55113-3626
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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