Individual
MRS. ELLEN G EISENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 728-3194
Mailing address
13 JONQUIL LN, NEWPORT NEWS, VA 23606-1507
(757) 722-9961
(757) 728-3194
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003095
VA
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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