Individual
EILEEN MCDERMOTT GANONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1041 45TH ST, WEST PALM BEACH, FL 33407-2402
(561) 383-5923
(561) 512-1280
Mailing address
1041 45TH ST, WEST PALM BEACH, FL 33407-2402
(561) 383-5923
(561) 512-1280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11716
FL
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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