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NPI 1003972068

NPI 1003972068 : FRANCINE SUE EISENMAN M.S.W. : HAVERHILL, MA

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General NPI Number Information
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    NPI Number           |    1003972068
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCINE SUE EISENMAN M.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/27/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    116 SUMMER ST 
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    City                 |    HAVERHILL
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    State                |    MA
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    Zip                  |    01830-6032
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    Country              |    US
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    Telephone            |    978-521-2955
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    Fax                  |    978-373-1678
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Provider Business Mailing Address
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    Address Line         |    712 GREAT POND RD 
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    City                 |    NORTH ANDOVER
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    State                |    MA
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    Zip                  |    01845-2025
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    Country              |    US
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    Telephone            |    978-697-3554
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    Fax                  |    979-373-1678
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    110469
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    License Number State |    MA
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