Individual
CALEB EGGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
283 US HIGHWAY 60 W, REPUBLIC, MO 65738-1432
(417) 216-6189
Mailing address
2005 S 22ND AVE, OZARK, MO 65721-8731
(417) 689-3183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2024018840
MO
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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