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Individual

MS. EILEEN THERESE TEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
17978 SR 55, BAKER, WV 26801
(304) 897-5915
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904011887
VA
1041C0700X
Clinical Social Worker
11389
MD
1041C0700X
Clinical Social Worker
Primary
DP00946696
WV
1041C0700X
Clinical Social Worker
LC17901
ME

Other

Enumeration date
08/30/2009
Last updated
07/18/2024
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