Individual
MRS. CONNIE DEAN ERICKSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S DEVINSHIRE AVE, BENTLEY, KS 67016-7625
(316) 796-0770
Mailing address
PO BOX 111, BENTLEY, KS 67016-0111
(316) 796-0770
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
14640
FL
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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