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1063458511
ELLEN G EISENBERG
HAMPTON, VA
NPI
1063458511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904003095)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
Mrs. ELLEN G EISENBERG sw
100 EMANCIPATION DR
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
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Mailing Address
Mrs. ELLEN G EISENBERG sw
13 JONQUIL LN
NEWPORT NEWS, VA 23606-1507
Phone number: 757-722-9961
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