Individual
MRS. ERICKA LANELLE BASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
553 FAIRVIEW AVENUE N., ST. PAUL, MN 55104
(651) 379-5881
(651) 379-5968
Mailing address
553 FAIRVIEW AVENUE N., ST. PAUL, MN 55104
(651) 379-5881
(651) 379-5968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18505
MN
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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