Organization
WEST METRO EDUCATION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE HAVEMAN (DIRECTOR OF SPECIAL EDUCATION)
(651) 431-0680
Entity
Organization
Contact information
Practice address
10 S 10TH ST, MINNEAPOLIS, MN 55403-2033
(612) 752-7100
Mailing address
10 S 10TH ST, MINNEAPOLIS, MN 55403-2033
(612) 752-7100
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
475-878
MN
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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