Individual
BRYCE MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2060 CENTRE POINTE BLVD, SUITE #3, SAINT PAUL, MN 55120-1269
(651) 774-0011
(651) 774-0606
Mailing address
5530 ZEALAND AVE N, MINNEAPOLIS, MN 55428-3726
(612) 226-2617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081880
NY
1041C0700X
Clinical Social Worker
AP14-1068
MN
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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