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Clark Erickson, LICSW

NPI 1316035231 · on the registry since 2006 · sole proprietor

Practice

Address
6701 Penn Ave So
#301, Resonnce Center
Richfield, MN 55423
Phone
(612) 861-6129
Fax
(612) 861-7589

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota