person
Mrs. Kristin Ericson, LCSW
School Social Worker in Port Jefferson, New York
NPI 1902110059

Kristin Ericson is a School Social Worker based in Medford, NY and is specialized in School. Kristin Ericson practices in Port Jefferson, NY and has the professional credentials of LCSW. The NPI Number for Kristin Ericson is 1902110059 and holds a License No. R047177-1 (New York).

The current practice location address for Kristin Ericson is 118 Spring St, Port Jefferson, NY and can be reached out via phone at 631-476-0564.

Location: 118 Spring St, Port Jefferson, NY, 11763-3728
person
Provider Profile Details
NPI Number
1902110059
Provider Name
Kristin Ericson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
118 Spring St, Port Jefferson, NY, 11763-3728
Phone Number
631-476-0564
Fax Number
Provider Enumeration Date
07/31/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
118 Spring St
City
State
Zip
11777-1817
Phone Number
631-476-0564
Fax Number
person
Provider Business Mailing Address Details
Address
118 Spring St
City
State
Zip
11777-1817
Phone Number
631-476-0564
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
R047177-1 (New York)
Definition
Definition to come...
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