Individual
PAULINE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N 34TH ST STE 100, SUPERIOR, WI 54880-4476
(715) 392-8216
Mailing address
1500 N 34TH ST STE 100, SUPERIOR, WI 54880-4476
(715) 392-8216
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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