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Individual

KATHERINE JANE HASKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.F.T.

Contact information

Practice address
600 TWELVE OAKS CENTER DR, SUITE 642E, WAYZATA, MN 55391-4501
(612) 807-0878
Mailing address
17700 BRECONWOOD RD, WAYZATA, MN 55391-3304
(952) 476-7323
(952) 476-7325

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1062
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
493R3HA
BCBS PROVIDER NUMBER
MN
01
62-64013
UBH PROVIDER NUMBER
MN
Enumeration date
12/11/2006
Last updated
07/09/2007
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