Provider Information for 1073209268
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Dr. ERICA R ALLEN PhD, DPC, NCC, LPC
Sex: Female
NPI: 1073209268
Last Updated: 2023-05-31
Certification Date: 2023-05-31
Certification Date: 2023-05-31
Details
| Name | Value | ||||||||||||
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| NPI | 1073209268 | ||||||||||||
| Enumeration Date | 2023-04-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 447 PICKENS, MS 39146-0447 United States Phone: 662-528-0300 | Fax: | ||||||||||||
| Primary Practice Address | 240 N 2ND ST PICKENS, MS 39146-1205 United States Phone: 662-528-0300 | Fax: | ||||||||||||
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