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1902091135
TAMARA L ERICKSON
WAUKESHA, WI
NPI
1902091135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 13917-130)
Enumeration Date
2007-09-11
Last Update Date
2008-01-02
Business Address
-- TAMARA L ERICKSON MS
2314 GRANDVIEW BLVD SUITES 301 & 110
WAUKESHA, WI 53188-1675
Phone number: 262-524-9416
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Mailing Address
-- TAMARA L ERICKSON MS
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050
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