SHELLY R ERICKSON

MOUNT PLEASANT, WI
NPI1710640602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16476-131)
Enumeration Date2021-10-18
Last Update Date2021-10-18
Business Address
SHELLY R ERICKSON SAC
5735 DURAND AVE
MOUNT PLEASANT, WI 53406-5011
Phone number: 262-598-1392
Mailing Address
SHELLY R ERICKSON SAC
5735 DURAND AVE
MOUNT PLEASANT, WI 53406-5011
Phone number: 262-598-1392
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