Provider Information for 1245683424
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ERIKA M GERGERICH LCSW
Sex: Female
NPI: 1245683424
Last Updated: 2016-07-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1245683424 | ||||||||
| Enumeration Date | 2016-07-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2450 S TELSHOR BLVD LAS CRUCES, NM 88011-5069 United States Phone: 575-521-5370 | Fax:575-521-5376 | ||||||||
| Primary Practice Address | 2450 S TELSHOR BLVD LAS CRUCES, NM 88011-5069 United States Phone: 575-521-5370 | Fax:575-521-5376 | ||||||||
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