Individual
ERICA GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 POPLAR LEVEL RD STE 405, LOUISVILLE, KY 40217-1389
(502) 636-7845
(502) 636-8045
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256390
KY
Other
Enumeration date
06/12/2014
Last updated
01/10/2025
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