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Individual

AMY MELISSA HABEDANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1068 LAKE ST S STE 109, FOREST LAKE, MN 55025-2633
(651) 982-4792
(651) 982-6035
Mailing address
8972 BATAAN CT, MINNEAPOLIS, MN 55449-5649
(507) 301-3412

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11936
MN
1041C0700X
Clinical Social Worker
Primary
11936
MN

Other

Enumeration date
04/18/2026
Last updated
04/24/2026
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