Provider Information for 1376882431
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Mrs. JEAN MARIE ERICKSON LMFT
Sex: Female
NPI: 1376882431
Last Updated: 2013-02-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1376882431 | ||||||||
| Enumeration Date | 2013-02-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 450 ROSEWOOD AVE 212B CAMARILLO, CA 93010-5914 United States Phone: 651-270-9202 | Fax: | ||||||||
| Primary Practice Address | 450 ROSEWOOD AVE 212B CAMARILLO, CA 93010-5914 United States Phone: 651-270-9202 | Fax: | ||||||||
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