Individual
MR. JEFFREY DEAN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 UNIVERSITY AVE W, 200, SAINT PAUL, MN 55104-3453
(651) 266-7880
Mailing address
4040 CRYSTAL CIR, SHOREVIEW, MN 55126-2991
(651) 266-7880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12229
MN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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