Organization
HUMAGINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND PETER DAVEY MA (PRESIDENT)
(763) 519-1686
Entity
Organization
Contact information
Practice address
7382 KIRKWOOD CT, MAPLE GROVE, MN 55369-5270
(763) 528-3450
Mailing address
6349 RANCHVIEW LN N, MAPLE GROVE, MN 55311-3925
(763) 519-1686
(763) 519-0684
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1691
MN
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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