Individual
ERICA PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9335 CALUMET AVE, MUNSTER, IN 46321-4175
(219) 513-8508
Mailing address
6713 KENTUCKY AVE, HAMMOND, IN 46323-1754
(219) 805-7111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99119668A
IN
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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