Individual
AUDREY ELIZABETH BRICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10621 165TH ST W, LAKEVILLE, MN 55044-3520
(763) 210-9966
Mailing address
10621 165TH ST W, LAKEVILLE, MN 55044-3520
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4340
MN
Other
Enumeration date
05/03/2023
Last updated
02/20/2025
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