Individual
BARRY CRAIG EITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W
Contact information
Practice address
4315 PIEHL RD, OTTAWA LAKE, MI 49267-8710
(419) 260-5552
Mailing address
4315 PIEHL RD, OTTAWA LAKE, MI 49267-8710
(419) 260-5552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801063087
MI
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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