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Individual

CAROL SYBELLA MERRIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS LP LICSW

Contact information

Practice address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Mailing address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4740
MN
1041C0700X
Clinical Social Worker
12387
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
711183500
MN
Enumeration date
05/12/2006
Last updated
06/02/2016
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