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Individual
MR. MICHAEL ANGELO EGAN I
Active
Individual
MR. MICHAEL ANGELO EGAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801092649
MI
1041C0700X
Clinical Social Worker
Primary
6801092694
MI
Other
Enumeration date
11/10/2010
Last updated
11/27/2023
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