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JIHAN A ALI LICSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1942637632

Individual Registrant:
 JIHAN A ALI LICSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
631 N CEDAR AVE  OWATONNA, MN 55060-2323 US
Tel: 507-446-0431  Fax: 507-446-8014

Contact information for business:
PO BOX 977  OWATONNA, MN 55060-0977 US
Tel: 507-446-0431  Fax: 507-446-8014

Registration Information:
NPI: 1942637632
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
MN21047

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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