License Detail

NameHEYWARD ELOISE L
AddressCAMBRIA HEIGHTSNY
ProfessionLICENSED CLINICAL SOCIAL WORK
License No001036
Date of Licensure09/01/04  (OriginallylicensedasaCertifiedSocialWorkeron06/24/66)
Additional QualificationP -3-year psychotherapy privilege
StatusNOT REGISTERED
Registered through last day of

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