Individual
NICOLE LEE HARRIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4884 MILLER TRUNK HWY STE 100, HERMANTOWN, MN 55811-2836
(218) 812-3600
(218) 309-0198
Mailing address
4884 MILLER TRUNK HWY STE 100, HERMANTOWN, MN 55811-2836
(218) 812-3600
(218) 309-0198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21375
MN
1041C0700X
Clinical Social Worker
21375
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457693459
UBH-MEDICA
MN
05
—
1457693459
—
MN
Enumeration date
03/18/2013
Last updated
04/15/2021
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