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1487873915
PETER ERICKSON
CHAMPAIGN, IL
NPI
1487873915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149001270)
Enumeration Date
2007-04-24
Last Update Date
2012-06-05
Business Address
-- PETER ERICKSON L.C.S.W.
809 W CHURCH ST
CHAMPAIGN, IL 61820-3320
Phone number: 217-373-1850
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Mailing Address
-- PETER ERICKSON L.C.S.W.
602 W UNIVERSITY AVE
URBANA, IL 61801-2530
Phone number: 217-383-3311
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