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Individual

MR. DAVID ERLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW & LISAC

Contact information

Practice address
413 E FLORENCE BLVD, CASA GRANDE, AZ 85122-4112
(520) 876-5764
(520) 876-5613
Mailing address
413 E FLORENCE BLVD, CASA GRANDE, AZ 85122-4112
(520) 876-5764
(520) 876-5613

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11736
AZ
1041C0700X
Clinical Social Worker
Primary
12071
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
AZ
Enumeration date
10/22/2008
Last updated
12/22/2009
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