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1144957143
ERICA RAE COURNOYER
FOREST LAKE, MN
NPI
1144957143
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Professional Name
ERICA R. SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 24336)
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
ERICA RAE COURNOYER
18323 JULY AVE N
FOREST LAKE, MN 55025-9788
Phone number: 651-329-9476
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Mailing Address
ERICA RAE COURNOYER
28395 LAKESIDE WAY
LINDSTROM, MN 55045-4403
Phone number: 651-329-9476
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