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Individual

ERIC LEE MEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LICSW

Contact information

Practice address
2835 W SAINT GERMAIN ST STE 550, SAINT CLOUD, MN 56301-6389
(320) 229-5199
Mailing address
1564 COUNTY ROAD 134, SAINT CLOUD, MN 56303-0346
(320) 229-5199

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27177
MN

Other

Enumeration date
02/27/2023
Last updated
12/05/2024
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