Individual
ERICA LYNNE GRUIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11116 ZEALAND AVE N, CHAMPLIN, MN 55316-3594
(763) 746-0842
(763) 746-0843
Mailing address
11116 ZEALAND AVE N, CHAMPLIN, MN 55316-3594
(763) 746-0842
(763) 746-0843
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3593
MN
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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