Provider Demographics
NPI:1962585190
Name:BOND, EILEEN E (MSW)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:E
Last Name:BOND
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 PACKARD ST STE 12D
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6392
Mailing Address - Country:US
Mailing Address - Phone:734-330-7595
Mailing Address - Fax:
Practice Address - Street 1:2223 PACKARD ST STE 12D
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-6392
Practice Address - Country:US
Practice Address - Phone:734-330-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010141391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical