Individual
JUSTINA MARIE EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2445 W 34TH ST, ERIE, PA 16506-3549
(814) 838-1954
Mailing address
218 CHAUTAUQUA BLVD, ERIE, PA 16511-1110
(814) 873-0987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016252
PA
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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