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1316035231
CLARK J ERICKSON
RICHFIELD, MN
NPI
1316035231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 1964)
Enumeration Date
2006-10-10
Last Update Date
2009-02-02
Business Address
Mr. CLARK J ERICKSON LICSW
6701 PENN AVE SO #301, RESONNCE CENTER
RICHFIELD, MN 55423-2093
Phone number: 612-861-6129
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Mailing Address
Mr. CLARK J ERICKSON LICSW
6701 PENN AVE SO #301, RESONNCE CENTER
RICHFIELD, MN 55423-2093
Phone number: 612-861-6129
Copy
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