Individual
SANDRA L ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4849 KOELSCH DR, OKLAHOMA CITY, OK 73117-8406
(405) 430-0386
Mailing address
4849 KOELSCH DR, OKLAHOMA CITY, OK 73117-8406
(405) 430-0386
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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