Individual
AMAL A ALOSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 28TH AVE NW, NEW BRIGHTON, MN 55112-5366
(612) 836-7788
Mailing address
2025 28TH AVE NW, NEW BRIGHTON, MN 55112-5366
(612) 836-7788
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MN
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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