Individual
SUSAN JANE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC SP
Contact information
Practice address
305 N. 6TH, LA CONNER, WA 98257
(360) 466-3171
(360) 466-3523
Mailing address
P.O. BOX 2103, LA CONNER, WA 98257
(360) 466-3171
(360) 466-3523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001533
WA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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