Individual
MRS. ANGELA JOLENE EIKENBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1483 W MAIN ST, TIPP CITY, OH 45371-2803
(937) 335-0361
Mailing address
604 E 4TH ST, GREENVILLE, OH 45331-2047
(937) 467-4500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2511973
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
06/24/2022
Last updated
08/13/2025
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