PETER ERICKSON

CHAMPAIGN, IL
NPI1487873915
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149001270)
Enumeration Date2007-04-24
Last Update Date2012-06-05
Business Address
-- PETER ERICKSON L.C.S.W.
809 W CHURCH ST
CHAMPAIGN, IL 61820-3320
Phone number: 217-373-1850
Mailing Address
-- PETER ERICKSON L.C.S.W.
602 W UNIVERSITY AVE
URBANA, IL 61801-2530
Phone number: 217-383-3311