Individual
MRS. EILEEN F BLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
195 UNION ST STE B1, NEWARK, OH 43055-3998
(740) 349-7066
(740) 345-6028
Mailing address
540 OFFICENTER PL STE 160, GAHANNA, OH 43230-5351
(614) 664-3595
(614) 664-3595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0008947
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10193
—
OH
01
—
1376607374
ORGANIZATION NPI#
OH
01
—
31-0711374
TAX ID#
OH
Enumeration date
08/08/2007
Last updated
03/17/2018
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