Individual
TRENT EISENBEISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1206 CHERRY GRV, GREENEVILLE, TN 37745-2035
(360) 480-5996
Mailing address
1206 CHERRY GRV, GREENEVILLE, TN 37745-2035
(360) 480-5996
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60506546
WA
Other
Enumeration date
11/28/2018
Last updated
07/12/2024
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