Individual
JADE A. ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
130 WABASHA ST S, SUITE 90, SAINT PAUL, MN 55107-1819
(651) 925-5531
(651) 450-2221
Mailing address
5536 26TH AVE S, MINNEAPOLIS, MN 55417-1928
(612) 860-3636
(651) 450-2221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21074
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21074
LICSW
MN
Enumeration date
03/03/2015
Last updated
01/27/2017
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