Havstad, Mary Ann

Havstad, Mary Ann is an sole proprietor health care provider with primary practice located at 9001 E Blgtn Frwy Suite 140, Bloomington MN 55420. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Havstad, Mary Ann can be contacted via phone (612) 518-5105.

Contact Information

Primary practice address
9001 E Blgtn Frwy Suite 140 Bloomington MN 55420
Phone: (612) 518-5105
Fax: (952) 881-3588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8300 Minnesota

Profile Details

NPI number 1568530954
LBN Legal business name Havstad, Mary Ann
Credentials M.A. LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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