Individual
CHARISSA ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
8081 PADRE WAY NE, OTSEGO, MN 55330-4543
(612) 963-0444
Mailing address
8081 PADRE WAY NE, OTSEGO, MN 55330-4543
(612) 963-0444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20028
MN
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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