Individual provider · NPI-1

Mahmood Abosara

Social Worker · Saint Louis, MO

NPI number1548610090
StatusActive
Last updated in NPPESJun 15, 2016

Details

NPI
1548610090
Entity type
Individual (NPI-1)
Name
Mahmood Abosara
Sex
Male
Sole proprietor
No
Enumeration date
Jun 15, 2016
Last updated
Jun 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

4333 Manchester Ave
Saint Louis, MO 63110-2137

Phone 314-665-9672

Mailing address

4333 Manchester Ave
Saint Louis, MO 63110-2137

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