MEDICARE: SALWA MOHAMED ABDALLA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	23540	MN

General Provider Information

NPI Number	:	1427450790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALWA MOHAMED ABDALLA

Provider Business Mailing Address
First Line	:	208 N BROADWAY
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55906-3646
Country	:	US
Telephone Number	:	507-258-5050
Fax Number	:	507-258-5051

Provider Business Practice Location Address
First Line	:	208 N BROADWAY
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55906-3646
Country	:	US
Telephone Number	:	507-258-5050
Fax Number	:	507-258-5051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2014
Last Update Date	:	09/18/2014

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Directions to “ SALWA MOHAMED ABDALLA ” Practice Location

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