Individual
ERIC RANDALL AURELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LICSW CPRP
Contact information
Practice address
7850 RIVERDALE DR NW, SUITE C, RAMSEY, MN 55303-7215
(763) 427-2590
(763) 427-2579
Mailing address
7850 RIVERDALE DR NW, SUITE C, RAMSEY, MN 55303-7215
(763) 427-2590
(763) 427-2579
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12633
MN
Other
Enumeration date
09/28/2007
Last updated
01/20/2012
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