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1376631499
LAUREL RUZICKA ERICKSON
WHEATON, IL
NPI
1376631499
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Former Name
LAUREL RUZICKA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.006242)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Dr. LAUREL RUZICKA ERICKSON PsyD
425 W WESLEY ST
WHEATON, IL 60187-4923
Phone number: 630-653-2737
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Mailing Address
Dr. LAUREL RUZICKA ERICKSON PsyD
1516 CREEKSIDE DR
WHEATON, IL 60187-7218
Phone number: 630-653-8196
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