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1679044184
DEREK JOHN ERICKSON
MINNEAPOLIS, MN
NPI
1679044184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305050)
Enumeration Date
2018-12-09
Last Update Date
2024-06-06
Business Address
DEREK JOHN ERICKSON LADC
3720 23RD AVE S
MINNEAPOLIS, MN 55407-3010
Phone number: 612-272-6978
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Mailing Address
DEREK JOHN ERICKSON LADC
305 9TH ST
WINDOM, MN 56101-1658
Phone number: 507-832-8033
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