Most Relevant Information
Provider Data
| NPI Number: | 1003693433 |
| Provider Name: | BROOKE MICHELE ERICKSON MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | ASW115113 |
Most Important Dates
| Enumeration Date: | 09/11/2023 |
| Last Updated: | 09/11/2023 |
Provider Practice Location
118 PALM AVE
MODESTO
CA
953505420
Practice Location Phone/Fax
| Phone: | 2097640124 |
| Fax: |
Provider Mailing Location
118 PALM AVE
MODESTO
CA
953505420
Provider Mailing Phone/Fax
| Phone: | 2097640124 |
| Fax: |