Individual
SHIRLEY EVELYN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 W MANANA BLVD, CLOVIS, NM 88101-3304
(575) 742-6978
Mailing address
1005 W MANANA BLVD, CLOVIS, NM 88101-3304
(575) 742-6978
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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