Organization
ERIC EHRKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC EHRKE LCSW (AUTHORIZED OFFICAL)
(262) 691-1470
Entity
Organization
Contact information
Practice address
1166 QUAIL CT STE 210, PEWAUKEE, WI 53072-3775
(262) 695-5311
(262) 695-9744
Mailing address
N29W27355 PENINSULA DR, PEWAUKEE, WI 53072-4323
(262) 691-1470
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1782-123
WI
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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