Individual
SUSAN CAROL EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 E MAIN ST STE 125, AVON, CT 06001-3845
(860) 325-7344
Mailing address
35 E MAIN ST STE 125, AVON, CT 06001-3845
(860) 325-7344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003196
CT
Other
Enumeration date
01/30/2022
Last updated
06/17/2022
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