Individual
ERIN L WATERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2835 W SAINT GERMAIN ST STE 550, SAINT CLOUD, MN 56301-6389
(320) 251-7700
(320) 251-8898
Mailing address
2835 W SAINT GERMAIN ST STE 550, SAINT CLOUD, MN 56301-6389
(320) 251-7700
(320) 251-8898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27472
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27472
LICSW LICENSE
MN
Enumeration date
07/16/2021
Last updated
07/16/2021
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