Individual
MISS ANGELA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3230 MARGIE AVE, SALT LAKE CITY, UT 84109-2231
(801) 651-5403
Mailing address
3230 MARGIE AVE, SALT LAKE CITY, UT 84109-2231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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