Individual
SUSAN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4718 23RD AVE, SUITE 500, MISSOULA, MT 59803-1163
(406) 626-0400
Mailing address
415 S 48TH ST W, BILLINGS, MT 59106-2955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
833
MT
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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