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Individual
MR. JOSEPH ANTHONY EAGLE
Active
Individual
MR. JOSEPH ANTHONY EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
08/02/2024
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