Individual
RANDA ERICSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 BUSINESS 371, BRAINERD, MN 56401-8306
(218) 833-8799
Mailing address
2424 BUSINESS 371, BRAINERD, MN 56401-8306
(218) 833-8799
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4731
MN
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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