Individual
KYRA EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 W COLLEGE AVE, APPLETON, WI 54914-8507
(920) 750-7000
Mailing address
4635 W COLLEGE AVE, APPLETON, WI 54914-8507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4985-226
WI
101YP2500X
Professional Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/01/2020
Last updated
10/28/2024
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