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1639684566
ERICK JOHN PANIKE
SALT LAKE CITY, UT
NPI
1639684566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9334223-3501)
Enumeration Date
2017-12-14
Last Update Date
2020-12-28
Business Address
ERICK JOHN PANIKE LCSW
1174 E GRAYSTONE WAY STE 3
SALT LAKE CITY, UT 84106-2671
Phone number: 385-200-0786
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Mailing Address
ERICK JOHN PANIKE LCSW
1174 E GRAYSTONE WAY STE 6
SALT LAKE CITY, UT 84106-2671
Phone number:
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