Individual
ERICA RAE COURNOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18323 JULY AVE N, FOREST LAKE, MN 55025-9788
(651) 329-9476
Mailing address
28395 LAKESIDE WAY, LINDSTROM, MN 55045-4403
(651) 329-9476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24336
MN
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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