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1568530954
MARY ANN HAVSTAD
BLOOMINGTON, MN
NPI
1568530954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MN 8300)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
MARY ANN HAVSTAD M.A. LICSW
9001 E BLGTN FRWY SUITE 140
BLOOMINGTON, MN 55420
Phone number: 612-518-5105
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Mailing Address
MARY ANN HAVSTAD M.A. LICSW
3703 TOWNDALE DR
BLOOMINGTON, MN 55431-1047
Phone number: 612-518-5105
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