Individual
CONSTANCE L. ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
WESTWOOD OFFICE PARK, BLUEFIELD, VA 24605
(276) 322-5439
Mailing address
892 TRANQUIL RD, NORTH TAZEWELL, VA 24630-8047
(276) 322-3773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003789
VA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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