Organization
EMERGE MOTHERS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA NICOLE ERICKSON MA (EXECUTIVE DIRECTOR)
(612) 910-9962
Entity
Organization
Contact information
Practice address
2300 CHICAGO AVE, MINNEAPOLIS, MN 55404-3834
(612) 721-6294
Mailing address
4031 CRYSTAL CIR, SAINT PAUL, MN 55126-2973
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20515
MN
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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