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Individual

THANE M ERICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3307 3RD AVE W, MARSTON BUILDING, ROOM 115, SEATTLE, WA 98119-1940
(206) 281-2273
(206) 281-2695
Mailing address
3307 3RD AVE W, MARSTON BUILDING, ROOM 115, SEATTLE, WA 98119-1940
(206) 281-2273
(206) 281-2695

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60137088
WA

Other

Enumeration date
12/23/2013
Last updated
12/23/2013
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