Individual
EILEEN KULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
2208 EXECUTIVE DR, SUITE E, HAMPTON, VA 23666-6603
(757) 826-7516
(757) 825-7351
Mailing address
2208 EXECUTIVE DR, SUITE C, HAMPTON, VA 23666-6603
(757) 826-7516
(757) 826-6232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000838
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175950
ANTHEM BCBS HEALTHKEEPERS
VA
01
—
O84920M
SENTARA/OPTIMA
VA
Enumeration date
09/27/2006
Last updated
07/08/2007
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