Individual
MRS. JANE KATHERINE EITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
(920) 831-7939
Mailing address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
(920) 831-7939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1717-121
WI
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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