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Individual

MR. EUGENE DONALD ERRICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
99 W SYLVANIA AVE, NEPTUNE CITY, NJ 07753-6436
(732) 814-9804
(732) 776-6787
Mailing address
99 W SYLVANIA AVE, NEPTUNE CITY, NJ 07753-6436
(732) 814-9804
(732) 776-6787

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00067700
NJ
1041C0700X
Clinical Social Worker
Primary
44SC00136100
NJ

Other

Enumeration date
06/26/2008
Last updated
07/14/2008
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