Individual
MS. GWENDA SUE EILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1601 STADIUM MALL DR., PURDUE UNIVERISTY STUDENT HEALTH CENTER, WEST LAFAYETTE, IN 47907-2052
(765) 494-6995
(765) 496-2139
Mailing address
1601 STADIUM MALL DR., PURDUE UNIVERISTY STUDENT HEALTH CENTER, WEST LAFAYETTE, IN 47907-2052
(765) 494-6995
(765) 496-2139
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000563A
IN
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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