Individual
MRS. TAMMY EISENBRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 MELROSE AVE, BOARDMAN, OH 44512-2353
(330) 544-8005
Mailing address
158 MELROSE AVE, BOARDMAN, OH 44512-2353
(330) 544-8005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
S.1500570
OH
106H00000X
Marriage & Family Therapist
Primary
1500570
OH
Other
Enumeration date
07/01/2015
Last updated
09/21/2018
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