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Organization

HARVEST MOON MENTAL HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORRIE R EHRBRIGHT MSW, LICSW (OWNER/PSYCHOTHERAPIST)
(218) 270-4449
Entity
Organization

Contact information

Practice address
1509 E SUPERIOR ST APT 203, DULUTH, MN 55812-4402
(218) 251-3686
(218) 216-8983
Mailing address
1509 E SUPERIOR ST APT 203, DULUTH, MN 55812-4402
(218) 251-3686

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538618566
MENTAL HEALTH
MN
Enumeration date
08/11/2020
Last updated
03/18/2021
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