Individual
REGINA KAY EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 WARRIOR LANE, POPLAR BLUFF, MO 63901
(573) 686-1200
(573) 778-0145
Mailing address
925 HIGHWAY VV, KENNETT, MO 63857-0071
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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