Individual
MARY HECKT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
(651) 602-7517
Mailing address
3446 FLAG AVE N, NEW HOPE, MN 55427-1733
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10604
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079L9HE
BCBS
MN
01
—
6232933
MEDICA
MN
01
—
923911043667
PREFERRED ONE
MN
Enumeration date
04/01/2006
Last updated
07/08/2007
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