KRISTIN ERICSON

PORT JEFFERSON, NY
NPI1902110059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041S0200X Social Worker, School
(Licence: NY  R047177-1)
Enumeration Date2010-07-31
Last Update Date2010-09-10
Business Address
Mrs. KRISTIN ERICSON LCSW
118 SPRING ST
PORT JEFFERSON, NY 11777-1817
Phone number: 631-476-0564
Mailing Address
Mrs. KRISTIN ERICSON LCSW
95 GREENPORT AVE
MEDFORD, NY 11763-3728
Phone number: 631-654-1967