Individual
MRS. CAROL A EIFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PCC, LSW
Contact information
Practice address
1349 E STROOP RD, KETTERING, OH 45429-4925
(937) 603-3708
Mailing address
528 BENNERT DR, VANDALIA, OH 45377-2510
(937) 603-3708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0700061
OH
104100000X
Social Worker
S0006817
OH
Other
Enumeration date
10/22/2012
Last updated
10/31/2012
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