Doctor Name: | DEBORAH KAY ERICKSON |
NPI Number: | 1285929968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 17401 |
Business Practice Address: | 13637 60th St Sw Cokato, MN - 553214210 |
Business Phone Number: | 3202862922 |
Business Fax Number: | 3202862875 |
Mailing Address: | 13637 60th St Sw, COKATO |
State: | MN |
Postal Code: | 553214210 |
Phone Number: | 3202862922 |
Fax Number: | 3202862875 |
NPI Enumeration Date: | 06/10/2011 |
NPI Last Update Date: | 06/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 17401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |