MIRANDA ELAINE ERICKSON

SPRINGFIELD, OR
NPI1336584499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2013-05-02
Last Update Date2013-05-02
Business Address
MIRANDA ELAINE ERICKSON BFA
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
Mailing Address
MIRANDA ELAINE ERICKSON BFA
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
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