Hatch Life LLC

NPI #1477929990 in Eagan, Minnesota

Provider Information

NPI Number: 1477929990
Entity Type: Organization
Organization Name: Hatch Life LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PREGNANCY & POSTPARTUM SUPPORT MN
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 19, 2015
Last Updated: Sep 4, 2015

Practice Location

Address: 4590 SCOTT TRL
Address 2: 200
City: Eagan
State: Minnesota
ZIP Code: 55122-3331
Phone: (612) 888-3133

Authorized Official

Name: MAIMA E FANT, MSW, LICSW
Title: PROVIDER
Phone: (612) 888-3133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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