Individual
ERIKA MARIE SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1422 CENTRAL AVE NW, EAST GRAND FORKS, MN 56721
(218) 281-3940
Mailing address
PO BOX 603, CROOKSTON, MN 56716-0603
(218) 281-3940
(218) 281-6261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
20630
MN
Other
Enumeration date
08/09/2013
Last updated
06/22/2020
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