Provider Information for 1013340074
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Miss VICTORIA JORDANA EISNER LCSW
Sex: Female
NPI: 1013340074
Last Updated: 2024-01-18
Certification Date: 2024-01-18
Certification Date: 2024-01-18
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013340074 | ||||||||||||||||
| Enumeration Date | 2013-08-14 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 11245 SE 6TH ST STE 230 BELLEVUE, WA 98004-6651 United States Phone: 310-490-0512 | Fax: | ||||||||||||||||
| Primary Practice Address | 11245 SE 6TH ST STE 230 BELLEVUE, WA 98004-6651 United States Phone: 702-292-3774 | Fax: | ||||||||||||||||
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