Organization
TIM ERICSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY M. ERICSON MSW (SOCIAL WORKER)
(207) 985-4211
Entity
Organization
Contact information
Practice address
62 PORTLAND RD, KENNEBUNK, ME 04043-6658
(207) 985-4211
Mailing address
62 PORTLAND RD, KENNEBUNK, ME 04043-6658
(207) 985-4211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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