MRS. Ericka Sam, LCSW

NPI #1366719130 in Crestview, Florida

Provider Information

NPI Number
1366719130
Entity Type
Individual
Name
MRS. Ericka Sam, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Nov 22, 2011
Last Updated
Nov 22, 2011

Practice Location

Address
259 E OAKDALE AVE
State
Florida
ZIP Code
32539-3547
Phone
(850) 682-1234

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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