Provider Demographics
NPI:1285401273
Name:ESKANDER, ALISON CHABUT (LSW)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:CHABUT
Last Name:ESKANDER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7260 CANDLEWYCK CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-5001
Mailing Address - Country:US
Mailing Address - Phone:937-581-0324
Mailing Address - Fax:
Practice Address - Street 1:7260 CANDLEWYCK CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-5001
Practice Address - Country:US
Practice Address - Phone:937-581-0324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1802760104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker