Individual
SUSAN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER SOCIAL WORKER
Contact information
Practice address
26 HADLEY LAKE ROAD, MACHIAS, ME 04654-0088
(207) 255-8596
Mailing address
PO BOX 88, MACHIAS, ME 04654-0088
(207) 255-8596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ME474880
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115490001
—
ME
Enumeration date
08/27/2009
Last updated
08/27/2009
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