Resource Correction:  Professional Business or Organization

If you are currently listed in our resource list and need to make a correction, please fill out the form below.

(Please note: Information sent via this form will not be encrypted. If you would like to discuss any sensitive information, please call our message line instead, and speak to a support volunteer.)
Your Name
Your Email Address
  Please provide as much information as possible about the business or organization.
Prefix (e.g. Mr., Mrs., Dr., etc.)
First Name
Last Name
Professional Title
Organization
Mailing Address
City
State / Province
Zip / Postal Code
Country
Work Phone Number
Home Phone Number
Alternate Phone Number
Fax Number
Email Address
Professional Website URL
How did you learn about us?
Does this business/ organization have a particular interest in providing services or treatment to women experiencing PPD or APD?
Please describe the type of services or treatment provided.
What are the business hours?
Other Comments: 
 

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    This page was updated on 25 May 2010
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Baby Blues Connection, PO Box 1122, Portland, OR  97207-1122, 503-797-2843 www.babybluesconnection.org
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