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1043940547
CHARISSA ERICKSON
OTSEGO, MN
NPI
1043940547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 20028)
Enumeration Date
2022-06-16
Last Update Date
2022-06-16
Business Address
CHARISSA ERICKSON LICSW
8081 PADRE WAY NE
OTSEGO, MN 55330-4543
Phone number: 612-963-0444
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Mailing Address
CHARISSA ERICKSON LICSW
8081 PADRE WAY NE
OTSEGO, MN 55330-4543
Phone number: 612-963-0444
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