Individual
JACQUELYN M ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., O.T.R.
Contact information
Practice address
4045 LAKE OTIS PKWY STE 101, ANCHORAGE, AK 99508-5227
(907) 764-4441
(907) 561-7093
Mailing address
4045 LAKE OTIS PKWY STE 101, ANCHORAGE, AK 99508-5227
(907) 764-4441
(907) 561-7093
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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