Organization
HATCH LIFE LLC
Active
Parent organization
PREGNANCY & POSTPARTUM SUPPORT MN
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREGNANCY & POSTPARTUM SUPPORT MN
Authorized official
MAIMA E FANT MSW, LICSW (PROVIDER)
(612) 888-3133
Entity
Organization
Contact information
Practice address
4590 SCOTT TRL, 200, EAGAN, MN 55122-3331
(612) 888-3133
Mailing address
4590 SCOTT TRAIL, SUITE 200, EAGAN, MN 55122
(612) 888-3133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22848
MN
Other
Enumeration date
08/19/2015
Last updated
09/04/2015
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