Individual
MRS. KELLY ANN EGGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
174 W SPRUCE AVE, WASILLA, AK 99654-5400
(907) 376-7233
(907) 357-0286
Mailing address
174 W SPRUCE AVE, WASILLA, AK 99654-5400
(907) 376-7233
(907) 357-0286
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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