Individual
LASHONDA RENEA EAGELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 UNION AVE, SAN JOSE, CA 95124-2009
(408) 371-0960
Mailing address
PO BOX 720923, SAN JOSE, CA 95172-0923
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
97406
CA
1041S0200X
School Social Worker
Primary
97406
CA
Other
Enumeration date
12/09/2016
Last updated
02/11/2025
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