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Individual

KRISTIE LERVICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
1 ST CROIX LOFTS DR, 101, SAINT CROIX FALLS, WI 54024-9127
(952) 836-5473
Mailing address
1 ST CROIX LOFTS DRIVE, 101, ST CROIX FALLS, WI 54024
(952) 836-5473

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302539
MN

Other

Enumeration date
06/27/2016
Last updated
06/27/2016
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