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Individual

ROBERTA C EISENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW BCD

Contact information

Practice address
113 E GREENWOOD AVE, LANSDOWNE, PA 19050
(610) 622-3109
(215) 284-2191
Mailing address
113 E GREENWOOD AVE, LANSDOWNE, PA 19050
(610) 622-3109
(215) 284-2191

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW002214L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G45862
BLUE SHIELD
PA
Enumeration date
02/28/2006
Last updated
07/05/2012
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