Individual
MERIJA EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2668
(608) 280-2705
Mailing address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2668
(608) 280-2705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
40-228
WI
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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