# HUMAGINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306052899
- **Authorized official:** RAYMOND PETER DAVEY MA (PRESIDENT)
- **Authorized official phone:** (763) 519-1686

## Contact information

- **Practice address:** 7382 KIRKWOOD CT, MAPLE GROVE, MN 55369-5270
- **Practice address phone:** (763) 528-3450
- **Mailing address:** 6349 RANCHVIEW LN N, MAPLE GROVE, MN 55311-3925
- **Mailing address phone:** (763) 519-1686
- **Mailing address fax:** (763) 519-0684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1691 | MN | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 08/22/2020