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Individual
MR. ROBERT HENRY ERICSON JR.
Active
Individual
MR. ROBERT HENRY ERICSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016687
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016687
TUFTS
MA
01
—
04343911901
HP PACIFICARE
MA
01
—
254713
MBC HMO BLUE
MA
01
—
P04805
BCBS
MA
Enumeration date
01/26/2007
Last updated
07/08/2007
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