Individual
NICOLE LYNN ERASMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
Mailing address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
20235
MN
1041C0700X
Clinical Social Worker
Primary
4464
ND
Other
Enumeration date
05/05/2011
Last updated
09/08/2020
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