Individual
LOIS JAYNE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3005 JAMES AVE S, MINNEAPOLIS, MN 55408-2533
(612) 821-9112
(612) 377-7501
Mailing address
3809 UPTON AVE S, MINNEAPOLIS, MN 55410-1240
(612) 821-9112
(612) 377-7501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14902
MN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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