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Individual
MR. LEE BRADLEY ERICKSON
Active
Individual
MR. LEE BRADLEY ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC00111
MN
101YP2500X
Professional Counselor
Primary
LPCC00111
MN
Other
Enumeration date
02/22/2007
Last updated
03/05/2012
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