Individual
ERICA L MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 CREIGHTON RD STE B, PENSACOLA, FL 32504-9403
(850) 665-0354
Mailing address
1331 CREIGHTON RD STE B, PENSACOLA, FL 32504-9403
(850) 665-0354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW14677
FL
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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