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Organization
HAMM MEMORIAL PSYCHIATRIC CLINIC
Active
Organization
HAMM MEMORIAL PSYCHIATRIC CLINIC
Active
Other names
Hamm Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELLEN JAEHNE LICSW (CLINICAL DIRECTOR)
(651) 224-0614
Entity
Organization
Contact information
Practice address
408 SAINT PETER ST, STE 429, SAINT PAUL, MN 55102-1130
(651) 224-0614
(651) 224-5754
Mailing address
408 SAINT PETER ST, STE 429, SAINT PAUL, MN 55102-1130
(651) 224-0614
(651) 224-5754
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
800960-1-MHC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23328HA
BC/BS
—
Enumeration date
07/28/2005
Last updated
08/22/2020
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