Organization
ELEMENT OF FUN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE NATALIE ERICKSON LICSW (OWNER)
(912) 308-8481
Entity
Organization
Contact information
Practice address
22787 US HIGHWAY 98 STE B1, FAIRHOPE, AL 36532-6330
(912) 308-8481
Mailing address
433 JAN DR, FAIRHOPE, AL 36532-2711
(912) 308-8481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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