| Emerge Mothers Academy | |
|
2300 Chicago Ave Minneapolis MN 55404-3834 | |
| (612) 721-6294 | |
| Not Available |
| Full Name | Emerge Mothers Academy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2300 Chicago Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Rebecca Nicole Erickson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6129109962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerge Mothers Academy 4031 Crystal Cir Saint Paul MN 55126-2973 Ph: () - | Emerge Mothers Academy 2300 Chicago Ave Minneapolis MN 55404-3834 Ph: (612) 721-6294 |
| NPI Number | 1144634452 |
|---|---|
| Provider Enumeration Date | 06/13/2014 |
| Last Update Date | 06/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144634452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 20515 (Minnesota) | Primary |
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