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Organization
PREGNANCY AND POSTPARTUM SUPPORT MINNESOTA
Active
Organization
PREGNANCY AND POSTPARTUM SUPPORT MINNESOTA
Active
Parent organization
NAMI MINNESOTA
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAMI MINNESOTA
Authorized official
CRYSTAL CLANCY M.A. LMFT (CO-DIRECTOR OF PPSM)
(612) 548-4266
Entity
Organization
Contact information
Practice address
1700 NIAGARA LN N, STE 201, PLYMOUTH, MN 55447-4739
(612) 590-7794
Mailing address
1700 NIAGARA LN N, STE 201, PLYMOUTH, MN 55447-4739
(612) 590-7794
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1356
MN
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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