Individual
CATELYN K EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-1379
(505) 272-9843
Mailing address
1201 3RD ST NW, ALBUQUERQUE, NM 87102-1403
(505) 764-8231
(505) 248-1351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N3938
—
NM
Enumeration date
06/08/2017
Last updated
11/07/2018
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