Organization
GAIL P ERICSON, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL PAULA ERICSON LCSW (PRESIDENT)
(480) 753-1211
Entity
Organization
Contact information
Practice address
11022 S 51ST ST, SUITE 100, PHOENIX, AZ 85044-4308
(480) 753-1211
(480) 753-0060
Mailing address
4119 E CATHEDRAL ROCK DR, PHOENIX, AZ 85044-3707
(480) 518-5550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-2009
AZ
Other
Enumeration date
04/22/2007
Last updated
03/15/2010
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