ERIC GEOVANNI ERICKSON

BRONX, NY
NPI1578735528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  072455)
Enumeration Date2008-03-31
Last Update Date2012-09-07
Business Address
Mr. ERIC GEOVANNI ERICKSON LCSW
1011 WASHINGTON AVE
BRONX, NY 10456-6619
Phone number: 718-585-4205
Mailing Address
Mr. ERIC GEOVANNI ERICKSON LCSW
1011 WASHINGTON AVENUE
BRONX, NY 10456
Phone number: 718-585-4205