Individual
MS. REBECCA A EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 526-5547
Mailing address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 256-5547
(715) 526-5542
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
715-226
WI
Other
Enumeration date
03/14/2011
Last updated
12/15/2011
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