Individual
HUSAM MACKAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6385 OLD SHADY OAK RD, SUITE 250 OFC 290, EDEN PRAIRIE, MN 55344
(720) 333-0215
Mailing address
6385 OLD SHADY OAK RD, SUITE 250 OFC 290, EDEN PRAIRIE, MN 55344
(720) 333-0215
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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