ERIC D BRAATEN

KIRKSVILLE, MO
NPI1063711661
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO  5778)
Enumeration Date2011-03-22
Last Update Date2011-03-22
Business Address
-- ERIC D BRAATEN RASAC I
1101 JAMISON ST
KIRKSVILLE, MO 63501-3943
Phone number: 660-665-1962
Mailing Address
-- ERIC D BRAATEN RASAC I
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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