Organization
GREGORY ERICKSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ERICKSON LCSW (CLINICAL DIRECTOR)
(312) 802-6606
Entity
Organization
Contact information
Practice address
1985 RIPKEN WAY, JACKSON, MO 63755
(312) 802-6606
Mailing address
1985 RIPKEN WAY, JACKSON, MO 63755
(312) 802-6606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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