Organization
FERNBROOK FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY YOUNG (BUSINESS MANAGER/OWNER)
(507) 446-0431
Entity
Organization
Contact information
Practice address
419 BUSH ST, RED WING, MN 55066-2529
(651) 212-7429
Mailing address
PO BOX 977, OWATONNA, MN 55060-0977
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327188900
—
MN
Enumeration date
12/12/2011
Last updated
12/12/2011
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