Individual
JENNIFER ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14130 23RD AVE N, PLYMOUTH, MN 55447-4904
(763) 383-7666
(763) 383-6013
Mailing address
14130 23RD AVE N, PLYMOUTH, MN 55447-4904
(763) 383-7666
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8670
MN
Other
Enumeration date
07/30/2010
Last updated
07/24/2012
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