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Organization
EGGLESTON, INC
Active
Organization
EGGLESTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J EGGLESTON M.S.ED. (PRESIDENT)
(605) 610-6355
Entity
Organization
Contact information
Practice address
1601 E 69TH ST STE 101, SIOUX FALLS, SD 57108-8322
(605) 610-6355
Mailing address
1601 E 69TH ST STE 101, SIOUX FALLS, SD 57108-8322
(605) 610-6355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC537
SD
261QM0850X
Adult Mental Health Clinic/Center
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Other
Enumeration date
04/10/2007
Last updated
07/03/2023
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