Individual
DR. DAVID JOHN EISENMENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
509 N CEDAR AVE, COOKEVILLE, TN 38501-1707
(931) 261-8038
(931) 372-7225
Mailing address
1431 THOMAS CIR, COOKEVILLE, TN 38506-5903
(931) 261-8038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000004662
TN
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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