Individual
CYNTHIA EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.012564
IL
101YP2500X
Professional Counselor
2906-266
WI
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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