Individual
CARLY MAE JOHNSON ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
503 HAWTHORNE ST STE 145, ALEXANDRIA, MN 56308-1991
(320) 200-1477
Mailing address
1807 WOODLAND PARK DR NE, ALEXANDRIA, MN 56308-8584
(320) 200-1477
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1057
MN
Other
Enumeration date
07/28/2014
Last updated
09/26/2019
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