Individual
LE ANN MARIE EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(352) 690-8936
Mailing address
11120 NW GAINESVILLE RD, OCALA, FL 34482-1479
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
03/04/2020
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