Provider Information for 1205427010
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SARAH ELIZABETH HABERMAN LICSW
Sex: Female
NPI: 1205427010
Last Updated: 2021-02-03
Certification Date: 2021-02-03
Certification Date: 2021-02-03
Details
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NPI | 1205427010 | ||||||||
Enumeration Date | 2021-02-03 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 608 N OAKS DR APT 307 OSSEO, MN 55369-1456 United States Phone: 763-464-3561 | Fax: | ||||||||
Primary Practice Address | 13603 80TH CIR N MAPLE GROVE, MN 55369-8961 United States Phone: 763-274-3120 | Fax:763-274-3121 | ||||||||
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