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Individual
EILEEN CHAMBERLIN
Active
Individual
EILEEN CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801095461
MI
1041C0700X
Clinical Social Worker
Primary
6801095461
MI
405300000X
Prevention Professional
6801095461
MI
Other
Enumeration date
01/09/2017
Last updated
12/16/2020
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