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Individual

MRS. EILEEN MARIE MISLUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMHC

Contact information

Practice address
1070 ELM ST, GREENWOOD, IN 46142-3801
(954) 661-7310
Mailing address
1070 ELM ST, GREENWOOD, IN 46142-3801
(954) 661-7310

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11327
FL
101YM0800X
Mental Health Counselor
Primary
3006465A
IN
101YP2500X
Professional Counselor
001817
CT

Other

Enumeration date
07/13/2009
Last updated
10/22/2015
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