Shamso Mohamud Ulusow

NPI #1063105260 in Lakeville, Minnesota

Provider Information

NPI Number: 1063105260
Entity Type: Individual
Name: Shamso Mohamud Ulusow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 1, 2023
Last Updated: Jun 1, 2023

Practice Location

Address: 17951 EVERGLADE CIR
City: Lakeville
State: Minnesota
ZIP Code: 55044-5090
Phone: (612) 607-2475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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