Organization
INDIVIDUAL AND FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH MARIE HAENEL LICSW (THERAPIST/PRESIDENT)
(507) 377-2224
Entity
Organization
Contact information
Practice address
111 E CLARK ST STE 201, ALBERT LEA, MN 56007-4580
(507) 377-2224
(507) 377-2224
Mailing address
111 E CLARK ST STE 201, ALBERT LEA, MN 56007-4580
(507) 377-2224
(507) 377-2224
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
06629
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011357300
—
MN
Enumeration date
07/14/2008
Last updated
07/14/2008
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