Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 13308 | MD |
NPI | 1992977169 |
---|---|
Provider Name | Ms. Deborah Eisenberg |
First Address | Baltimore, MD 21211 |
Second Address | Baltimore, MD 21211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2008 |
Last Update Date | 28/03/2008 |