Individual
MS. EILEEN THERESE TEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
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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