Individual
ERIC JAY EHRKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
N29W27355 PENINSULA DR, PEWAUKEE, WI 53072-4323
(262) 691-1470
Mailing address
N29W27355 PENINSULA DR, PEWAUKEE, WI 53072
(262) 691-1470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1782123
WI
106H00000X
Marriage & Family Therapist
501124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6280488
UNITED BEHAVIORAL HEALTH
WI
Enumeration date
10/05/2006
Last updated
12/07/2007
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