Individual
COLLEEN EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7252
Mailing address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801103831
MI
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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