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ERICA SUDIKOFF LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1144324849
Individual Registrant: ERICA SUDIKOFF LCSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
2484SHATTUCK AVE SUITE 210 BERKELY, CA 94704 US
Tel: 510-704-7480 Fax: 510-704-7494
Tel: 510-704-7480 Fax: 510-704-7494
Contact information for business:
1209 SHATTUCK AVE BERKELY, CA 94709 US
Tel: 510-558-8450 Fax: --
Tel: 510-558-8450 Fax: --
Registration Information:
NPI: 1144324849
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | LCS14995 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
