RALPH BERRY

BRAINERD, MN
NPI1043569049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303336)
Enumeration Date2012-09-05
Last Update Date2012-09-05
Business Address
-- RALPH BERRY LADC
15 WASHINGTON ST STE 4
BRAINERD, MN 56401-3351
Phone number: 612-454-2451
Mailing Address
-- RALPH BERRY LADC
4633 FOREST HILLS CIR
NISSWA, MN 56468-2369
Phone number:
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