Iman, Fardowsa Hassan

Iman, Fardowsa Hassan is an individual health care provider with primary practice located at 524 25Th Ave N , Saint Cloud MN 56303-3255. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Iman, Fardowsa Hassan can be contacted via phone (320) 202-1909.

Contact Information

Primary practice address
524 25Th Ave N Saint Cloud MN 56303-3255
Phone: (320) 202-1909
Fax: (320) 202-1910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305423 Minnesota

Profile Details

NPI number 1730742172
LBN Legal business name Iman, Fardowsa Hassan
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2019
Last updated May 20th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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