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General NPI Number Information
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NPI Number | 1346723442
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Entity Type | Organization
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Legal Business Name | ERIN BRANDEL DYKHUIZEN, MA, MSW, LICSW LLC
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 06/21/2025
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Provider Practice Location Address
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Address Line | 2233 UNIVERSITY AVE W STE 420
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City | SAINT PAUL
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State | MN
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Zip | 55114-1629
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Country | US
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Telephone | 651-998-8991
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Fax |
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Provider Business Mailing Address
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Address Line | 1163 BROOKS AVE W
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City | SAINT PAUL
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State | MN
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Zip | 55113-3202
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Country | US
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Telephone | 612-722-2713
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ERIN BRANDEL DYKHUIZEN
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Credential | LICSW
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Telephone | 612-722-2713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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