Provider Information for 1699218826
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ERICA MARIE MAU MS, LPC, NCC, CCTP
Other Names:Former Name:ERICA SCHIPPERS MS, NCC, CCTPSex: Female
NPI: 1699218826
Last Updated: 2016-12-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1699218826 | ||||||||
| Enumeration Date | 2016-11-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 17400 SE 422ND AVE SANDY, OR 97055-6729 United States Phone: 503-705-9379 | Fax: | ||||||||
| Primary Practice Address | 17400 SE 422ND AVE SANDY, OR 97055-6729 United States Phone: 503-705-9379 | Fax: | ||||||||
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