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Individual

BADEH F DUALEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, ADC

Contact information

Practice address
2616 NICOLLET AVE, MINNEAPOLIS, MN 55408-1628
(612) 871-7878
Mailing address
PO BOX 8900, MINNEAPOLIS, MN 55408-0900
(612) 871-7878
(612) 871-2811

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MN

Other

Enumeration date
03/13/2008
Last updated
03/13/2008
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