Individual
AMIRA FORDHAM ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MED, LMFTA
Contact information
Practice address
2711 N 21ST ST, TACOMA, WA 98406-7519
(253) 343-8056
Mailing address
1532 N PROSPECT ST, TACOMA, WA 98406-8108
(253) 343-8056
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60646451
WA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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