| Gregory Erickson, Llc | |
|
1985 Ripken Way Jackson MO 63755 | |
| (312) 802-6606 | |
| Not Available |
| Full Name | Gregory Erickson, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1985 Ripken Way, Jackson, Missouri |
| Authorized Official Name and Position | Gregory Erickson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3128026606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Erickson, Llc 1985 Ripken Way Jackson MO 63755 Ph: (312) 802-6606 | Gregory Erickson, Llc 1985 Ripken Way Jackson MO 63755 Ph: (312) 802-6606 |
| NPI Number | 1184302903 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184302903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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