TIMOTHY M ERICSON CSW

Dr TIMOTHY M ERICSON CSW is a male medical professional, specializing in Clinical Social Worker. He graduated in 1987.

Contact

62 PORTLAND RD
KENNEBUNK
ME
040436658

Tel: 2079854211

TIMOTHY M ERICSON CSW Information

Npi 1720006943
Pac Id 4082629316
Professional Enrollment Id I20060208000250
Last Name ERICSON
First Name TIMOTHY
Middle Name M
Suffix
Gender M
Credential CSW
Medical School Name OTHER
Graduation Year 1987
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 62 PORTLAND RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City KENNEBUNK
State ME
Zip Code 040436658
Phone Number 2079854211
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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