Individual
MRS. ELEANOR TERESA GRABACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0105654
VT
1041C0700X
Clinical Social Worker
1624
NH
1041C0700X
Clinical Social Worker
SW5774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04183006
—
NY
05
—
1024723
—
VT
Enumeration date
08/15/2005
Last updated
09/25/2015
Update your record
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