Individual
CHERYL ANNE EBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 WILLARD AVENUE, MHICM RANGE PROGRAM, NEWINGTON, CT 06111-2631
(860) 667-6733
Mailing address
555 WILLARD AVENUE, MHICM RANGE PROGRAM, NEWINGTON, CT 06111-2631
(860) 667-6733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010895
CT
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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