Individual
MARK EIDEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1 CORPORATE CIR, SUITE 2000, GREENSBURG, PA 15601-9700
(724) 850-7300
(724) 850-7778
Mailing address
1051 NEW LONDON DR, GREENSBURG, PA 15601-1143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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