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Individual
REGINALD LAMONT EGGLESTON
Active
Individual
REGINALD LAMONT EGGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04249
MD
Other
Enumeration date
08/29/2008
Last updated
03/26/2012
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