Individual
ANDREW EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
400 AYLSWORTH AVE, WOONSOCKET, RI 02895-4714
(312) 316-6121
(312) 316-6121
Mailing address
400 AYLSWORTH AVE, WOONSOCKET, RI 02895-4714
(401) 312-3377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01863
RI
1041S0200X
School Social Worker
CSW01863
RI
Other
Enumeration date
12/19/2016
Last updated
01/16/2018
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