JEFFREY DEAN ERICKSON

SAINT PAUL, MN
NPI1447308580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  12229)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Mr. JEFFREY DEAN ERICKSON
1919 UNIVERSITY AVE W 200
SAINT PAUL, MN 55104-3453
Phone number: 651-266-7880
Mailing Address
Mr. JEFFREY DEAN ERICKSON
4040 CRYSTAL CIR
SHOREVIEW, MN 55126-2991
Phone number: 651-266-7880
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