Most Relevant Information
Provider Data
| NPI Number: | 1003630930 |
| Provider Name: | FADUMA ABDULLAHI MOHAMED |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/07/2024 |
| Last Updated: | 11/07/2024 |
Provider Practice Location
9420 4TH ST N
LAKE ELMO
MN
550424537
Practice Location Phone/Fax
| Phone: | 6128675647 |
| Fax: |
Provider Mailing Location
9420 4TH ST N
LAKE ELMO
MN
550424537
Provider Mailing Phone/Fax
| Phone: | 6128675647 |
| Fax: |