REGAN R EBERHART

MENASHA, WI
NPI1508911959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  8795)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: WA  RC00056209)
104100000X Social Worker
(Licence: WA  LW60167698)
104100000X Social Worker
(Licence: WI  8795)
1041C0700X Social Worker, Clinical
(Licence: WA  LW60167698)
Enumeration Date2007-01-24
Last Update Date2017-11-15
Business Address
REGAN R EBERHART LCSW
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300
Mailing Address
REGAN R EBERHART LCSW
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300