| Name | HEYWARD ELOISE L |
|---|---|
| Address | CAMBRIA HEIGHTSNY |
| Profession | LICENSED CLINICAL SOCIAL WORK |
| License No | 001036 |
| Date of Licensure | 09/01/04 (OriginallylicensedasaCertifiedSocialWorkeron06/24/66) |
| Additional Qualification | P -3-year psychotherapy privilege |
| Status | NOT REGISTERED |
| Registered through last day of |