Organization
DEBORAH K ERICKSON PLLC
Active
Organization
DEBORAH K ERICKSON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH KAY ERICKSON LICSW (OWNER)
(651) 485-1025
Entity
Organization
Contact information
Practice address
2151 HAMLINE AVE N STE 204, ROSEVILLE, MN 55113-4226
(651) 800-1127
(763) 703-3725
Mailing address
1162 ENGLEWOOD AVE, SAINT PAUL, MN 55104-1411
(651) 485-1025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17401
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285929968
NPI INDIVIDUAL
—
Enumeration date
07/24/2017
Last updated
05/13/2019
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