Individual
STEPHANIE ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
Mailing address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25454
MN
Other
Enumeration date
05/10/2017
Last updated
01/23/2020
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