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Individual

ABDIRAHMAN AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
146 63RD WAY NE, FRIDLEY, MN 55432-4814
(612) 224-0479
Mailing address
146 63RD WAY NE, FRIDLEY, MN 55432-4814
(612) 224-0479

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/17/2024
Last updated
07/09/2025
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