Edify Youth
Edify Youth is a Clinical Social Worker in Crystal, Minnesota. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
5108 Lakeside Ave NCrystal, MN 55429-3734
Phone: (612) 306-4575
Fax: (763) 271-2707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1477895985 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michele Bauer — Administrator · (763) 567-3136 |
| NPI enumerated | March 22, 2013 |
| Last updated in NPPES | March 22, 2013 |
| Mailing address | 5108 Lakeside Ave N, Crystal, MN 55429-3734 |
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