Individual
MRS. JILL S ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1727 SOUTH 16TH STREET, FARGO, ND 58103
(701) 446-4800
Mailing address
1727 SOUTH 16TH STREET, FARGO, ND 58103
(701) 446-4800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
770
ND
Other
Enumeration date
02/18/2009
Last updated
05/07/2009
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