Individual
MRS. KRISTINE MARIA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
566 BAVARIA LN, BOX 71, CHASKA, MN 55318-4597
(952) 448-3625
Mailing address
566 BAVARIA LN, BOX 71, CHASKA, MN 55318-4597
(952) 448-3625
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12353
MN
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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