Individual
NICOLE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2455 E BROADWAY RD UNIT 37, MESA, AZ 85204-1566
(509) 406-5380
Mailing address
2455 E BROADWAY RD UNIT 37, MESA, AZ 85204-1566
(509) 406-5380
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7917
AZ
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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