Organization
FAMILY CHATTERBOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AARON WADE (OPERATIONS OFFICER)
(651) 431-1168
Entity
Organization
Contact information
Practice address
4706 WALDEN DR, EAGAN, MN 55122-2771
(651) 431-1168
Mailing address
4706 WALDEN DR, EAGAN, MN 55122-2771
(651) 431-1168
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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