Individual
ERIKA FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1497 BREDA AVE, SAINT PAUL, MN 55108-2608
(651) 983-3501
Mailing address
1497 BREDA AVE, SAINT PAUL, MN 55108-2608
(651) 983-3501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26780
MN
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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