Tracy Anne Ericson, LCSW

NPI #1063600302 in Mt Pleasant Mills, Pennsylvania

Provider Information

NPI Number: 1063600302
Entity Type: Individual
Name: Tracy Anne Ericson, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 11, 2007
Last Updated: Oct 24, 2024

Practice Location

Address: 9627 ROUTE 35
City: Mt Pleasant Mills
State: Pennsylvania
ZIP Code: 17853-8409
Phone: (570) 539-2561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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