Individual
RACHEL MARIE EIZENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8550 POLO CLUB DR APT U622, MERRILLVILLE, IN 46410-8845
(862) 203-9734
Mailing address
3480 SUNRISE DR, CROWN POINT, IN 46307-8932
(862) 203-9734
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008717A
IN
1041C0700X
Clinical Social Worker
Primary
34009066A
IN
Other
Enumeration date
09/17/2020
Last updated
04/16/2026
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