Search › Minnesota › 101YM0800X
Mary Havstad, M.A. LICSW
NPI 1568530954 · on the registry since 2006 · sole proprietor
Practice
- Address
- 9001 E Blgtn Frwy
Suite 140
Bloomington, MN 55420 - Phone
- (612) 518-5105
- Fax
- (952) 881-3588
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota