Individual
MRS. EILEEN C. SCRIVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
1008 FISH HATCHERY ROAD, MADISON, WI 53715
(608) 260-9466
(608) 260-9467
Mailing address
N9094 LEGLER ROAD, BROOKLYN, WI 53521
(608) 455-1722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6605-123
WI
Other
Enumeration date
05/03/2007
Last updated
07/09/2007
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