Individual
MR. CULLAN B EIKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
145 SCALEYBARK RD, SUITE B, CHARLOTTE, NC 28209-2687
(704) 567-8690
Mailing address
145 SCALEYBARK RD, SUITE B, CHARLOTTE, NC 28209-2687
(704) 567-8690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P007482
NC
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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