Individual
MS. BEVERLY GAIL EISENOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2237 PARK RD, CHARLOTTE, NC 28203-5922
(704) 661-7444
(704) 358-0876
Mailing address
2237 PARK RD, CHARLOTTE, NC 28203-5922
(704) 661-7444
(704) 358-0876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003094
NC
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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