Individual
ERICKA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 DE LA GARZA ST. APT D, SAN CLEMENTE, CA 92672
(949) 370-0076
Mailing address
1103 DE LA GARZA ST APT D, SAN CLEMENTE, CA 92672-5773
(949) 370-0076
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23694
CA
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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