Individual
ANISA HIRSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5349 PENN AVE N, BROOKLYN CENTER, MN 55430-2941
(612) 298-8119
Mailing address
5349 PENN AVE N, BROOKLYN CENTER, MN 55430-2941
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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