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1497322267
FARDOWSA AHMED HASSAN
SAINT PAUL, MN
NPI
1497322267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 305947)
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
FARDOWSA AHMED HASSAN LADC
1246 UNIVERSITY AVE W
SAINT PAUL, MN 55104-4125
Phone number: 651-204-7009
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Mailing Address
FARDOWSA AHMED HASSAN LADC
5951 UNIVERSITY AVE NE APT 421
FRIDLEY, MN 55432-2886
Phone number: 612-242-4098
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