Individual
ROBERT ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3000 N 19TH AVE, PHOENIX, AZ 85015-6066
(602) 764-0081
Mailing address
1538 N BALBOA, MESA, AZ 85205-6878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-21881
AZ
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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