Individual
DR. CRISTINE L EASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LCSW
Contact information
Practice address
6417 ODANA RD, CORNERSTONE MENTAL HEALTH, MADISON, WI 53719
(608) 271-9986
(608) 271-9988
Mailing address
6417 ODANA RD, CORNERSTONE MENTAL HEALTH, MADISON, WI 53719
(608) 271-9986
(608) 271-9988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1780123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39201300
—
WI
Enumeration date
12/05/2006
Last updated
07/08/2007
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