Individual
MADDY ANN EGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 N MOUNT JULIET RD STE 201, MT JULIET, TN 37122-4498
(615) 438-3615
Mailing address
357A REED AVE, FORT CAMPBELL, KY 42223-3661
(806) 316-1118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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