VICKI J SERUM

BAXTER, MN
NPI1831149145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  6699licsw)
Enumeration Date2006-05-10
Last Update Date2007-10-30
Business Address
-- VICKI J SERUM ma, licsw
13073 EVERGREEN DR
BAXTER, MN 56425-7443
Phone number: 218-851-3813
Mailing Address
-- VICKI J SERUM ma, licsw
7352 OJIBWA RD
BRAINERD, MN 56401-7039
Phone number: 218-963-2670