Provider Demographics
NPI:1710557293
Name:SHERIF, ALA
Entity Type:Individual
Prefix:
First Name:ALA
Middle Name:
Last Name:SHERIF
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 1:3055 OLD HIGHWAY 8 STE 160
Mailing Address - Street 2:
Mailing Address - City:ST ANTHONY
Mailing Address - State:MN
Mailing Address - Zip Code:55418-2595
Mailing Address - Country:US
Mailing Address - Phone:763-205-5424
Mailing Address - Fax:763-205-6183
Practice Address - Street 1:3055 OLD HIGHWAY 8 STE 160
Practice Address - Street 2:
Practice Address - City:ST ANTHONY
Practice Address - State:MN
Practice Address - Zip Code:55418-2595
Practice Address - Country:US
Practice Address - Phone:763-205-5424
Practice Address - Fax:763-205-6183
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker