Individual
JAIA TSAB HAWJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 UNIVERSITY AVE W STE 178, SAINT PAUL, MN 55104-2803
(612) 505-2532
Mailing address
1662 NEVADA AVE E, SAINT PAUL, MN 55106-1531
(651) 354-7034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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