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Individual
MS. NICOLETTE ANN ERCHUL
Active
Individual
MS. NICOLETTE ANN ERCHUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20517
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006958400
—
MN
01
—
H400139162
MEDICARE PTAN
MN
Enumeration date
05/28/2013
Last updated
01/07/2021
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