Individual
BONNIE RAE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
1801 AMERICAN BLVD E STE 1, BLOOMINGTON, MN 55425-1230
(612) 767-7222
Mailing address
1801 AMERICAN BLVD E STE 1, BLOOMINGTON, MN 55425-1230
(612) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7610
MN
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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