Individual
TAMARA L ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2314 GRANDVIEW BLVD, SUITES 301 & 110, WAUKESHA, WI 53188-1675
(262) 524-9416
(262) 524-9434
Mailing address
285 N JANACEK RD, BROOKFIELD, WI 53045-6102
(262) 641-9050
(262) 641-9126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13917-130
WI
Other
Enumeration date
09/11/2007
Last updated
01/02/2008
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