Provider Demographics
NPI:1467924001
Name:JAMA, ASIYA
Entity Type:Individual
Prefix:
First Name:ASIYA
Middle Name:
Last Name:JAMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E 18TH ST UNIT 610
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-4094
Mailing Address - Country:US
Mailing Address - Phone:612-886-4339
Mailing Address - Fax:
Practice Address - Street 1:10 E 18TH ST UNIT 610
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-4094
Practice Address - Country:US
Practice Address - Phone:612-886-4339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker