Individual
MR. MICHAEL RAY EATMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2015 MAXWELL AVE, EVANSVILLE, IN 47711
(812) 422-7974
(812) 422-8163
Mailing address
2015 MAXWELL AVE, EVANSVILLE, IN 47711
(812) 422-7974
(812) 422-8163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001541A
IN
Other
Enumeration date
07/17/2006
Last updated
04/25/2019
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