Individual
MARILYN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MPH, LICSW
Contact information
Practice address
17305 CEDAR AVE S, LAKEVILLE, MN 55044-3901
(952) 435-4144
Mailing address
208 W 37TH ST, MINNEAPOLIS, MN 55409-1205
(612) 827-7467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11243
MN
Other
Enumeration date
06/09/2007
Last updated
07/08/2007
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