Individual
TINA MARIE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10 OVERHILL RD, SCITUATE, RI 02857-1158
(401) 473-9429
Mailing address
10 OVERHILL RD, SCITUATE, RI 02857-1158
(401) 473-9429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01198
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW01198
PROFESSIONAL LICENSE
RI
Enumeration date
07/11/2012
Last updated
02/16/2017
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