Most Relevant Information
Provider Data
| NPI Number: | 1003055864 |
| Provider Name: | JILL S ERICKSON SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 770 |
Most Important Dates
| Enumeration Date: | 02/18/2009 |
| Last Updated: | 05/07/2009 |
Provider Practice Location
1727 SOUTH 16TH STREET
FARGO
ND
58103
Practice Location Phone/Fax
| Phone: | 7014464800 |
| Fax: |
Provider Mailing Location
1727 SOUTH 16TH STREET
FARGO
ND
58103
Provider Mailing Phone/Fax
| Phone: | 7014464800 |
| Fax: |