Individual
ERICA LEA PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWI
Contact information
Practice address
125 BENNETT AVE, HURLBURT FIELD, FL 32544-5705
(850) 684-0878
Mailing address
125 BENNETT AVE, HURLBURT FIELD, FL 32544-5705
(850) 684-0878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW21603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
851171102
STATE OF FLORIDA
FL
Enumeration date
03/31/2022
Last updated
01/22/2026
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