Individual
AWO MOHAMED SALAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2229 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421-4131
(612) 323-2514
Mailing address
2229 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421-4131
(612) 323-2514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/07/2023
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