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Individual
MS. DANA EISENBERG
Active
Individual
MS. DANA EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
59867
MT
1041C0700X
Clinical Social Worker
Primary
580 LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502758
—
MT
01
—
70095
BCBS
MT
Enumeration date
05/09/2006
Last updated
10/13/2015
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