Individual
NICHOLE EAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
(410) 453-9553
Mailing address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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