Individual
MRS. BRENDA JO ERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
448 21ST ST W STE D1, THERAPY SOLUTIONS, DICKINSON, ND 58601-2647
(701) 483-1000
(701) 483-1001
Mailing address
448 21ST ST W STE D-1, THERAPY SOLUTIONS, DICKINSON, ND 58601-3462
(701) 483-1000
(701) 483-1001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2668
ND
1041S0200X
School Social Worker
2668
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4560002242
—
ND
Enumeration date
08/30/2010
Last updated
06/22/2011
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