| Fernbrook Family Center | |
|
419 Bush St Red Wing MN 55066-2529 | |
| (651) 212-7429 | |
| Not Available |
| Full Name | Fernbrook Family Center |
|---|---|
| Speciality | Social Worker |
| Location | 419 Bush St, Red Wing, Minnesota |
| Authorized Official Name and Position | Mandy Young (BUSINESS MANAGER/OWNER) |
| Authorized Official Contact | 5074460431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernbrook Family Center Po Box 977 Owatonna MN 55060-0977 Ph: () - | Fernbrook Family Center 419 Bush St Red Wing MN 55066-2529 Ph: (651) 212-7429 |
| NPI Number | 1437427911 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 12/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437427911 | NPI | - | NPPES |
| 327188900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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