Most Relevant Information
Provider Data
| NPI Number: | 1003433921 |
| Provider Name: | EDWARD ALAN YURICK MSW, LGSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 69153 |
Most Important Dates
| Enumeration Date: | 06/26/2020 |
| Last Updated: | 08/09/2021 |
Provider Practice Location
13045 FALCON DR STE 100
BAXTER
MN
564254201
Practice Location Phone/Fax
| Phone: | 8448207391 |
| Fax: |
Provider Mailing Location
13045 FALCON DR STE 100
BAXTER
MN
564254201
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |