Individual
DYANI BRADDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, LADC
Contact information
Practice address
332 W SUPERIOR ST STE 300, DULUTH, MN 55802-1844
(218) 722-4379
Mailing address
930 14TH ST APT 111, CLOQUET, MN 55720-0004
(218) 248-5422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305673
MN
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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