Provider Demographics
NPI:1669763454
Name:WHITCOMB-CRAFTON, ERIN MICHELLE (LICSW)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MICHELLE
Last Name:WHITCOMB-CRAFTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:914 S 8TH ST
Mailing Address - Street 2:S1.400
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1210
Mailing Address - Country:US
Mailing Address - Phone:612-873-8527
Mailing Address - Fax:612-904-4278
Practice Address - Street 1:600 W 98TH ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-4773
Practice Address - Country:US
Practice Address - Phone:612-672-6999
Practice Address - Fax:612-672-2691
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN208421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical