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ERICA SUDIKOFF LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1144324849

Individual Registrant:
 ERICA  SUDIKOFF LCSW
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

Contact information for business:
1209 SHATTUCK AVE  BERKELY, CA 94709 US
Tel: 510-558-8450  Fax: --

Registration Information:
NPI: 1144324849
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCS14995

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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