Individual
CARLENE KATRINA ERIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 243-5633
Mailing address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 243-5633
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01112
IA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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