ERIC LY

WOODBURY, MN
NPI1386208213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  cc04553)
Enumeration Date2019-04-25
Last Update Date2024-09-19
Business Address
ERIC LY
721 COMMERCE DR
WOODBURY, MN 55125-9118
Phone number: 651-424-4000
Mailing Address
ERIC LY
5110 KIRKWOOD AVE N
LAKE ELMO, MN 55042-9559
Phone number: 612-644-6835
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