Jennifer Lynn Ericson MSW, APSW, RADC-I

NPI 1386729218 - Counselor - 101YA0400X

NPI Details
NPI 1386729218
Gender Female
Enumeration Date 10/26/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10045 W LISBON AVE STE 221
WAUWATOSA WI, 53222-2446, US
Phone (414) 358-7144
Fax (414) 358-7158
Business Location
10045 W LISBON AVE STE 221
WAUWATOSA WI, 53222-2446, US
Phone (414) 358-7144
Fax (414) 358-7158
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 13566
Remove 1386729218 NPI Number
 

According to our database, Ms. Jennifer Lynn Ericson MSW, APSW, RADC-I NPI is 1386729218, taxonomy code is 101YA0400X and license number is 13566, license state is located at Wisconsin. Jennifer Lynn Ericson MSW, APSW, RADC-I physically located at 10045 W Lisbon Ave Ste 221, Wauwatosa WI, 53222-2446. NPI Number Jennifer Lynn Ericson MSW, APSW, RADC-I has the Individual type.

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1386729218 NPI number is provided on an as is basis without warranty of any kind. 1386729218 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Lynn Ericson MSW, APSW, RADC-I are for informational purposes only.